A novel modification of tunical plication by plaque thinning: long-term results in treating penile curvature of Peyronie’s disease

Ding, Sentai; Lü, Jiaju; Zhang, Hui; Wei, Lijing; Ding, Kui

doi:10.1007/s11255-009-9678-y

Cited by 9 publications

(5 citation statements)

References 31 publications

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“…Indications for tunical shortening include: adequate preoperative rigidity with or without pharmacotherapy, adequate penile length, simple curvature <60°, distal penile curvature with no hourglass deformity or hinge, or assumed loss of length <20% of total erect length . Tunical shortening procedures include the Nesbit, modified Nesbit and penile plication variations (Table ) . In brief, the Nesbit entails an elliptical excision of the tunica albuginea contralateral to the area of maximal curvature, thereby shortening the longer side of the tunica albuginea to match the length to the shorter side .…”

Section: Outcomes Of Pd Surgical Correctionmentioning

confidence: 99%

“…The Nesbit procedure was the original tunical shortening technique and was initially used for the correction of congenital penile curvature caused by corporal disproportion. Modifications of tunical shortening techniques include the Yachia , Giammusso , Lemberger and Essed‐Schröeder techniques, the 16‐ or 24‐dot procedure , the penoscrotal plication procedure and tunica albuginea plication (Table ).…”

Section: Outcomes Of Pd Surgical Correctionmentioning

confidence: 99%

“…Penile length, degree (>60°), and direction of curvature deformity (ventral curve) correlate with length lost after this procedure and, consequently, satisfaction. Overall satisfaction with the Nesbit and plication procedures ranged from 76.2 to 100% . Primary factors contributing to satisfaction included penile straightening and improved sexual performance .…”

Section: Outcomes Of Pd Surgical Correctionmentioning

confidence: 99%

“…Moreover, ∼60% of patients stated that they would choose the same intervention again . Penile shortening after surgery is very common; however, it typically does not affect erectile function . A review of surgical options for PD documented the following complications of the Nesbit procedure ( n = 612; mean follow‐up: 21–84 months) and modified Nesbit procedure ( n = 127; mean follow‐up: 12–50 months): recurrence of penile curvature deformity (7.7–10.6% by >30°), erectile dysfunction (3.25–23.1%), penile haematoma (0–8.9%), penile narrowing or induration (0–16.7%), urethral injury (0–1.4%), suture granuloma (0–1.9%), penile or glans hypoesthesia (0–21.4%) and phimosis (0–4.8%) .…”

Section: Outcomes Of Pd Surgical Correctionmentioning

confidence: 99%

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Outcomes of surgical treatment of Peyronie's disease

Carson

Levine

2014

BJU International

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The aims of the present review were to assess the literature on published outcomes and complications associated with surgical treatments for Peyronie's disease (PD) and to assist clinicians in the effective management of PD by increasing understanding and awareness of the outcomes associated with current surgical treatment options. A PubMed literature search was conducted to identify relevant, peer‐reviewed clinical and review articles published between January 1980 and October 2013 related to outcomes of surgical correction of PD. Search terms for this non‐systematic review included ‘Peyronie's disease’, ‘outcomes’, ‘complications’, ‘erectile dysfunction or ED’, ‘patient expectation’, and ‘patient satisfaction’; search terms were searched separately and in combination. Case studies and editorials were excluded, primary manuscripts and reviews were included, and bibliographies of articles of interest were reviewed and key references were obtained. Assessment of the study design, methodology, clinical relevance and impact on the surgical outcomes of PD was performed on the sixty‐one articles that were selected and analysed. Currently, there are several investigational minimally invasive and non‐surgical treatment options for PD; however, surgical treatment remains the standard of care for patients with stable disease and disabling deformity or drug‐resistant erectile dysfunction. Each of the different surgical procedures that are used for treatment of PD, including tunical shortening, tunical lengthening (plaque incisions or partial excision and grafting), and use of inflatable penile prostheses, carries its own advantages and disadvantages in terms of potential complications and postoperative satisfaction. Because of the variety of ways that PD may present in affected patients, no single, standard, surgical treatment for this disorder has prevailed and multiple variations of each type of procedure may exist. Surgical outcomes of the most commonly used procedures are not substantially different; therefore, the appropriateness of each treatment option may often depend on disease and patient characteristics (e.g. deformity and erectile function). Surgical algorithms have been published to guide surgeons and patients through the selection of surgical procedures in the absence of conclusive, long‐term outcome data. Accumulating data on outcomes associated with established procedures, modifications to these procedures, and new surgical techniques and materials may serve to further guide practice and refine evidence‐based selection of the surgical approach.

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Section: Outcomes Of Pd Surgical Correctionmentioning

confidence: 99%

Section: Outcomes Of Pd Surgical Correctionmentioning

confidence: 99%

Section: Outcomes Of Pd Surgical Correctionmentioning

confidence: 99%

Section: Outcomes Of Pd Surgical Correctionmentioning

confidence: 99%

See 2 more Smart Citations

Outcomes of surgical treatment of Peyronie's disease

Carson

Levine

2014

BJU International

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“…ED can be explained by the fact that the scarring of a healthy tissue may result in anatomical and functional damage to the corpus cavernosum [74][75][76].…”

Section: Tunical Shortening Proceduresmentioning

confidence: 99%

Peyronie’s Disease

Palumbo

Sebastiani

Procacci

et al. 2022

Practical Clinical Andrology

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Peyronie’s disease (PD), also known as induration penis plastica (IPP), is a clinical condition characterized by the formation of fibrotic plaques onto the tunica albuginea of the penis, which may result into abnormal penile curvature and deformity, erectile dysfunction (ED), and loss of penile length. The combination of these events may result in the impossibility of performing penetrative intercourse [1].

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