Subjective Patient-Reported Experiences After Surgery for Peyronie’s Disease: Corporeal Plication Versus Plaque Incision with Vein Graft

Kim, Dennis H.; Lesser, Timothy; Aboseif, Sherif R.

doi:10.1016/j.urology.2007.11.065

Cited by 48 publications

(40 citation statements)

References 16 publications

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“…In literature of long-term follow-up successful straightening results were reported for both ST and grafting techniques with similar outcome results as shown in our study. 21,27 Regarding erectile function ST patients self-reported significantly better results than TM patients during the follow-up. In ST patients, the average preoperative EHS did not change postoperatively (average EHS pre-operatively 3.2, 3.2 at 3 months postoperatively and 3.3 currently).…”

Section: Discussionmentioning

confidence: 99%

“…Even though some studies described excellent results after grafting procedures, 26,35 others reported, in accordance with our observations, a reduced erectile function of patients after a grafting procedure. 21,23,27 Hsu et al 26 reported equivalent erectile function after venous grafting procedures in comparison to the preoperative situation in patients with PD and with congenital deviation after an average follow-up of 43 months (7 month to 10 years), whereas Kim et al 27 described a significantly reduced erectile function/rigidity after a grafting procedure with venous patches after a medium follow-up time of at least 1 year compared to simpler shortening procedures. Also in line with the results of our study, Kim et al 27 described a higher loss of sensation in patients after grafting procedure than after ST procedures even though differences in our study were statistically not significant.…”

Section: Discussionmentioning

confidence: 99%

“…Even though some publications already report successful surgical treatment, long-term follow-up data especially with regard to the functional outcome remain scarce. 14,21,26,27 The aim of the present study was to evaluate and compare the selfreported long-term outcome and overall satisfaction in patients treated by either STs or a grafting procedure with TachoSil method (TM) at our institution. (See below for a detailed description of the surgical methods).…”

Section: Introductionmentioning

confidence: 99%

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A self-reported long-term follow-up of patients operated with either shortening techniques or a TachoSil grafting procedure

Horstmann¹,

Kwol²,

Amend³

et al. 2011

Asian J Androl

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The aim of this article is to analyse the long-term results of different surgical techniques for correction of penile deviations in Peyronie's disease. Patients who underwent surgery for a penile deviation in Peyronie's disease between 1997 and 2007 were included into this study. Cases were retrospectively analysed by chart review. The current situation was evaluated by a 16-item standardized questionnaire addressing penile straightness, sensation, length, sexual function and satisfaction. Ninety patients were contacted with a return rate of 75 (83%) evaluable questionnaires. Thirty-two patients were operated by shortening techniques (STs) with either Schroeder-Essed (n516) or Nesbit (n516). Forty-three were operated by a plaque in-/excision and defect covering by TachoSil method (TM). Both groups were similar regarding age (ST 56 years, TM 57 years), comorbidities, mean preoperative erection hardness score (EHS; 3.1 ST, 3.4 TM) and time of follow-up (total mean, 63 months). Preoperatively ST patients had significantly less plaques (P,0.05) and a lower deviation angle in comparison to TM patients (ST 566 versus TM 746; P, 0.001). Still TM patients reported slightly better straightening results, but a significantly lower mean EHS (ST 3.3 versus TM 2.6; P,0.001) during the follow-up. Satisfaction rates were similar in both groups. In conclusion, both techniques revealed to be safe and sustainable successful in penile straightening with better functional outcome of patients operated by STs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A self-reported long-term follow-up of patients operated with either shortening techniques or a TachoSil grafting procedure

Horstmann¹,

Kwol²,

Amend³

et al. 2011

Asian J Androl

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“…This is well illustrated in a comparison of corporeal plication (a shortening procedure) with plaque incision and saphenous vein grafting (a lengthening procedure), which revealed no difference in subjective penile shortening between the two groups of patients. 7 In addition, in a study of tunica albuginea plication or partial excision and grafting, most patients experienced subjective penile shortening whereas their objective measurements of penile length varied little. 22 In our cohort of 28 patients (median follow-up, 9 months), there were 11 recurrences (33%) of penile curvature, all within 3 months of surgery.…”

Section: Discussionmentioning

confidence: 99%

“…6 The above procedures are less useful in cases of severe curvature (greater than 601) because they cause penile shortening and can induce palpable bulges under the skin. 3,7,[8][9][10] Currently, the reference technique for severe curvature is plaque incision followed by grafting. 5,11 Plaque excision is no longer used because of the high rates of recurrence and de novo ED.…”

Section: Introductionmentioning

confidence: 99%

Medium-term follow-up of plaque incision and porcine small intestinal submucosal grafting for Peyronie's disease

et al. 2010

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The best surgical option for the management of severe cases of Peyronie's disease is currently a matter of debate. To determine medium-term outcomes and complications after treatment of severe Peyronie's disease by porcine small intestinal submucosa (SIS) grafts, we retrospectively reviewed 33 consecutive plaque incisions followed by 4-ply SIS grafting in 28 patients (2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009). Postoperative complications, penile length preservation, de novo ED, penile curvature correction and curvature recurrence rates were recorded. Median patient age was 54 years (38-69 years). Median preoperative curvature was 901 (30-901) (stable for at least 6 months). Six patients (21%) had preoperative ED. There were few postoperative complications (no cases of infection, haematoma (n ¼ 2), penile hypoesthesia (n ¼ 1), patch rejection and migration (n ¼ 1)). Subjective penile shortening and de novo ED were observed in 7 (25%) and 3 (11%) patients, respectively. The success rate for the procedure (straight penis or curvature p201 and ability to have intercourse) was 67% (22/33). Four patients achieved curvature correction after a repeat procedure with a new SIS graft. Eleven patients experienced recurrence within 3 months of surgery. After a median follow-up of 9 months (3-94), 22 patients (79%) had a satisfactory curvature correction.

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Psychosexual Symptoms and Treatment of Peyronie's Disease Within a Collaborative Care Model

Hartzell¹

2014

Sexual Medicine

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IntroductionPeyronie's disease (PD) can be emotionally and sexually debilitating for patients and may negatively impact partner relationships.AimsThis study aims to present an ongoing collaborative care model for patients with PD and to discuss the critical need for integration of patient care among sexual medicine physicians and mental health practitioners or sex therapists.MethodsPubMed searches using the terms “Peyronie's disease” and “natural history,” “treatment,” “psychosexual,” “depression,” “relationship,” and “partner” were conducted. Expert opinion based on review of the relevant published literature and clinical experience was used to identify meaningful treatment targets for patients with PD within a collaborative care model.Main Outcome MeasureCharacteristics of PD, medical treatment, and important assessment and treatment targets, including physical, emotional, psychosexual, and relationship concerns, from peer-reviewed published literature and clinical experience.ResultsPD can result in significant patient and partner distress and relationship disruption. Sex therapy interventions may be directed at acute emotional, psychosexual, and relationship problems that occur during the initial diagnosis of PD, the period following minimally invasive or surgical treatment for PD, or recurring problems over the lifelong course of the disease. Sex therapy to improve self-acceptance, learn new forms of sexual intimacy, and improve communication with partners provides comprehensive treatment targeting emotional, psychosexual, and relationship distress. Ongoing communication between the mental health practitioner and physician working with the patient with PD about key assessments, treatment targets, and treatment responses is necessary for coordinated treatment planning and patient care.ConclusionsMen with PD are more likely now than in the past to see both a sexual medicine physician and a mental health practitioner or sex therapist, and the integration of assessments and treatment planning is essential for optimal patient outcomes.

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Subjective Patient-Reported Experiences After Surgery for Peyronie’s Disease: Corporeal Plication Versus Plaque Incision with Vein Graft

Cited by 48 publications

References 16 publications

A self-reported long-term follow-up of patients operated with either shortening techniques or a TachoSil grafting procedure

A self-reported long-term follow-up of patients operated with either shortening techniques or a TachoSil grafting procedure

Medium-term follow-up of plaque incision and porcine small intestinal submucosal grafting for Peyronie's disease

Psychosexual Symptoms and Treatment of Peyronie's Disease Within a Collaborative Care Model

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