Soft Prosthesis Implant and Relaxing Albugineal Incision with Saphenous Grafting for Surgical Therapy of Peyronie's Disease: A 5-Year Experience and Long-Term Follow-Up on 145 Operated Patients

Austoni, E.; Colombo, Fulvio; Romanò, Ai Ling; Guarneri, A.; Goumas, Ioannis Kartalas; Cazzaniga, Alberto

doi:10.1016/j.eururo.2004.10.004

Cited by 58 publications

(47 citation statements)

References 17 publications

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“…Sliding technique, where tunical excision and grafting are performed on dorsal-ventral penis, has been described in patients whose corpus cavernosum is short and has been modified to become suitable for penile length prosthesis implantation (11). The studies on this issue in the literature are on cases that are accompanied by Peyronie's disease (11,12,13,14,15). Peyronie's disease did not accompany in our cases, however, only one of the cylinders of the prosthesis could be implanted due to the fact that the penile length of our cases was short and the diameter of the corpus cavernosum was totally insufficient.…”

Section: Discussionmentioning

confidence: 99%

Can Ambicor® Penile Prosthesis be Used in One Piece in Patients with Inadequate Cavernous Structure? Our Experience of Two Cases

Akdemir¹,

Kayıgίl²,

Okulu³

2016

jus

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ÖZPenile prosthesis implantation, which is practiced with high satisfaction and success rates in patients with erectile dysfunction today, is an invasive procedure carried out by implanting various models of the prostheses into the cavernosal tissue. Penile prosthesis implantation may sometimes prove difficult in cases with small penis in size and diameter. In this article, we present the method we used in two patients in whom twopieces Ambicor® penile prosthesis implantation was planned but could not be carried out due to the insufficient size and diameter of the penile cavernous structures. KeywordsErectile dysfunction, penile prosthesis, Ambicor®Günümüzde erektil disfonksiyonlu hastalarda yüksek memnuniyet ve başarı oranları ile uygulanan penil protez implantasyonu çeşitli modellerdeki protezlerin kavernozal doku içerisine yerleştirilmesi şeklinde yapılan invaziv bir işlemdir. Boyut ve çap olarak küçük penisi olan olgularda penil protez implantasyonu uygulanması kimi zaman zorluklar oluşturabilir. Biz bu yazımızda iki parçalı Ambicor® penil protez implantasyonu için operasyona aldığımız ancak penil kavernozal yapılarının boy ve çap olarak yetersiz olmasından dolayı protez implantasyonu tam olarak yapılamayan iki olguda uyguladığımız yöntemi sunduk.

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Section: Discussionmentioning

confidence: 99%

Can Ambicor® Penile Prosthesis be Used in One Piece in Patients with Inadequate Cavernous Structure? Our Experience of Two Cases

Akdemir¹,

Kayıgίl²,

Okulu³

2016

jus

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“…37 Austoni in 2005, using a soft prosthesis implant and relaxing albugineal incisions followed by saphenous grafting, also had very high rates of patient satisfaction. 38 More recently, Shaeer et al, in 2011, performed a plaque incision through a trans-corporal approach, restoring straightness and length to the penis, allowing implantation of a longer prosthesis in a straight penis, without the need to mobilize the neurovascular bundle. 39,40 Selecting an adequate graft is still an open discussion.…”

Section: Tunica Plication: Procedures That Shorten the Tunicamentioning

confidence: 99%

Recent surgical advances in Peyronie’s Disease

Gaspar¹,

Dias²,

Martins³

et al. 2016

Acta Med Port

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RESUMOIntrodução: A doença de Peyronie, uma doença fibrótica da túnica albuginea do pénis tem estado associada a encurtamento peniano e a algum grau de disfunção eréctil. Afeta a qualidade de vida do doente, levando a stress psicológico, mental e físico. A deformidade peniana perturba a vida sexual do doente, levando a episódios de depressão, disfunções sexuais e a ansiedade associada ao ato sexual. A etiologia da doença de Peyronie permanece por esclarecer. Material e Métodos: A pesquisa na literatura foi efetuada nas bases de dados da Medline, Embase e Cochrane no mês de Janeiro de 2015 no sentido de identificar artigos relacionados com a doença de Peyronie, nomeadamente o tratamento cirúrgico, técnicas, resultados bem como tratamentos complementares. Publicações que não envolvessem humanos não foram consideradas. Identificámos artigos originais, artigos de revisão e editoriais acerca do assunto em questão. Todos os artigos publicados na língua inglesa foram selecionados para screening. Os critérios de elegibilidade para inclusão envolveram a relevância associada ao tema. Resultados: Existe uma variedade de deformidades penianas associada com a doença de Peyronie que ainda não têm uma solução não cirúrgica que seja eficaz. Apresentamos uma atualização das técnicas cirúrgicas atuais bem como o algoritmo de tratamento associada a esta doença. Discussão: Todos os tratamentos cirúrgicos têm como objetivo a correção da curvatura, a preservação da função eréctil e do comprimento peniano, bem como o de minimizar a morbilidade. Conclusão: Até à data não existem estudos de medicina baseada na evidência que determinem o melhor tratamento cirúrgico para a doença de Peyronie. Após o diagnóstico, a reconstrução cirúrgica deve ter como objetivo um pénis funcional, com uma retificação da sua curvatura que permita o acto sexual. Palavras-chave: Induração Peniana; Pénis/cirurgia; Procedimentos Cirúrgicos Urológicos Masculinos; Prótese de Pénis. ABSTRACT Introduction:Peyronie's disease, a fibrotic disorder of the tunica albuginea of the penis, has been associated with penile shortening and some degree of erectile dysfunction. It affects patient's quality of life, leading to severe psychological, mental, and physical stress. Penile deformation hampers sexual life leading to depression, lack of sexual confidence, loss of sexual function and performance anxiety. Peyronie's disease etiology is yet to be known. Material and Methods: Literature search was conducted in Medline, Embase, and Cochrane databases in January 2015 in order to identify papers related to Peyronie's disease, concerning evolving surgical management, technique, outcomes as well as ancillary treatments. Publications not concerning humans were not considered. We identified original articles, review articles, and editorials addressing the subject. All articles published in the English language were selected for screening. The eligibility criteria for inclusion were based on relevance concerning the subject. Results:The variety of penile deformities associated with P...

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“…In 2005, in a series of 145 patients, Austoni et al [75] showed the results of an original technique using an intracavernous cylinder, soft but axially rigid in consistency, in association with tunical relaxing incisions and saphenous vein grafting -in exact this sequence. All patients presented severe forms of PD with sufficient preoperative erectile function.…”

Section: Reviewmentioning

confidence: 99%

“…Complete plaque excision may be necessary, if the plaque is calcified or cannot be incised. Austoni et al [75] suggest the use of a saphenous vein, adequately modeled, to cover the tunical defect.…”

Section: Reviewmentioning

confidence: 99%

See 1 more Smart Citation

Peyronie’s Disease: Lights and Shadows

et al. 2007

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Peyronie’s disease (PD) is characterized by the onset of fibrous plaque inside the tunica albuginea of the penile corpora cavernosa that can cause pain and bending during the erection, making intercourse difficult or impossible. Evidence of the literature supports the autoimmune etiology of PD and suggests genetic and familiar conditions, penile traumatisms, and a history of genital tract diseases as risk factors, but no definitive conclusions arise about the pathogenesis of the disease. Few randomized trials demonstrated that medical therapies, such as vitamin E, colchicine, potassium aminobenzoate, tamoxifen, and injection therapy with verapamil, can stabilize the acute phase of the disease. Extracorporeal shock wave therapy and iontophoresis cannot be considered first-line or gold standard therapies. Satisfactory results have been published with the Nesbit operation in large series with low-stage disease, whereas plication procedures have shown significant relapse rates. A high incidence of long-term penile retractions has been reported in high-stage disease treated with plaque incision and simple graft insertion. Malleable, soft, or inflatable prostheses combined with graft implantation have given the best results in terms of penile straightening and lengthening and patient satisfaction. In conclusion, the etiopathogenesis of PD is not yet clearly understood, no medical therapy is fully effective, and surgery remains the gold standard in patients with severe deformity and/or erectile dysfunction.

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Soft Prosthesis Implant and Relaxing Albugineal Incision with Saphenous Grafting for Surgical Therapy of Peyronie's Disease: A 5-Year Experience and Long-Term Follow-Up on 145 Operated Patients

Cited by 58 publications

References 17 publications

Can Ambicor® Penile Prosthesis be Used in One Piece in Patients with Inadequate Cavernous Structure? Our Experience of Two Cases

Can Ambicor® Penile Prosthesis be Used in One Piece in Patients with Inadequate Cavernous Structure? Our Experience of Two Cases

Recent surgical advances in Peyronie’s Disease

Peyronie’s Disease: Lights and Shadows

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