Penile corporoplasty with Yachia′s technique for Peyronie′s disease: Single center experience with 117 patients

Abstract

Introduction:Peyronie's disease is an acquired penile deformity with a variety of presentations, caused by the formation of fibrous plaques within the tunica albuginea, leading to bio-mechanical and vascular abnormalities. The objective is to investigate the 18 years outcome of patients with Peyronie's disease treated with penile corporoplasty (Yachia technique) in our department.Materials and Methods:One hundred and seventeen patients underwent surgical treatment for PD between 1991 and 2009 and were retrospectively evaluated. We used the Levine and Lenting's algorithm for surgical treatment. Data was obtained from medical records, clinical evaluation, and telephone interview. Post-operative follow-up was at 6 weeks and 12 months. The mean time of follow-up was 14 months (12-19 months).Main Outcome Measures:Patient demographic, co-morbidities, erectile function, penile curvature, and surgical intervention were documented. The main outcome measures of this study are postoperative complications, surgical purpose, and patients and partner's satisfaction rates.Results:Surgical aim was obtained in 106 patients (success rate of 94.6%). Complications occurred in 4.5% of patients, but most of these were mild. At 6 weeks, complete straightening of the penis was achieved in 57 patients (50.9%), and partial straightening which allow sexual intercourse in 49 patients (43.7%). Nine patients report gland hypoesthesia and almost all report subjective perception of penis shortening (0.5 cm to 5 cm). Twenty-two patients developed recurrent deformity at 12 months follow-up, with compromise of sexual intercourse in 7 patients. Patients’ responses to our questionnaire showed that overall 88.4% of the patients and partners were satisfied with the surgical results.Conclusion:According to the results of this long-term, retrospective study, surgical correction, using the Yachia technique, is an excellent option for patients with functional impairment from their Peyronie's disease, especially.

Changes in the Effects of Peyronie's Disease After Treatment With Collagenase Clostridium histolyticum: Male Patients and Their Female Partners

“…How PD treatment affects sexual partners seems even less understood. For surgical PD treatments, satisfaction rates for men and their partners vary by the type of surgery performed but are generally high 20, 21, 22. However, to our knowledge, this is the first prospective study to examine the effects of PD and PD treatment on affected men and their partners.…”

Surgical correction of Peyronie's disease via tunica albuginea plication: long‐term follow‐up

“…Many of these outcomes can be quite distressing for the patient, and they may impact the operative technique selection and the postoperative satisfaction. Men who undergo a plication procedure should be counseled properly about these postoperative findings (Lopes et al ., ). That is why a careful preoperative explanation about the aim of the procedure, that is mainly to straighten the penis, should be made.…”

Therapeutic advances in the treatment of Peyronie's disease

“…In a report of 89 PD patients treated with a Nesbit plication since 1990, 91% reported complete correction of curvature and 89% had preserved erectile function (Cantoro et al ., ). Similarly, in 106 PD patients treated with the Yachia technique, 95% reported straightening that allowed for successful intercourse (Lopes et al ., ). Overall, the literature suggests that, regardless of plication technique, one can expect full straightening in 85–100% of patients, new ED in 0–13%, and patient satisfaction in 70‐100% (Levine & Burnett, ).…”