Surgical alternatives for treating Peyronie's disease

Tornehl, Chris; Carson, Culley C.

doi:10.1111/j.1464-410x.2004.05031.x

Cited by 36 publications

(15 citation statements)

References 55 publications

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“…[4] Similar rates of straightening (93%) and satisfaction (78-83%) have been found with the Yachia technique. [11] In our study, we presented the highest number of patients submitted to Yachia corporoplasty to correction of PD ever publish. Although curvatures greater than 60° were present in a significative percentage of cases (11.1%), satisfactory surgical outcome was attained in nearly 95%, and both patients and partners presented high scores of satisfaction, what makes this technique an excellent option in the treatment of PD [Table 2].…”

Section: Discussionmentioning

confidence: 99%

“…A recent review reported that significant penile shortening of the penis occurred in 37-100% of patients with the Nesbit procedure and 57-67% of patients with the Yachia procedure. [11] Of these, only 1.3-11.9% (Nesbit) and 3.3-7.7% (Yachia) reported difficulty in sexual intercourse attributable to penile shortening. Although all our patients had penile shortening, only a small number ( n = 3) considered it a “real concern,” interfering with sexual intercourse.…”

Section: Discussionmentioning

confidence: 99%

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

2013

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

2013

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“…Both incision and excision of the plaque with grafting have been described with similar results, but no studies have compared results from the two procedures. Additionally, the use of both autologous and synthetic grafts have been described, with the synthetic grafts reported as being less elastic with a potential predisposition toward wound infection [18]. Similar to the intracorporeal space, venous grafts are lined by vascular endothelium and are, therefore, theoretically more physiologic than other autologous tissues.…”

Section: Treatmentmentioning

confidence: 99%

Review of the Surgical Approaches for Peyronie's Disease: Corporeal Plication and Plaque Incision with Grafting

Tran

Kim

Lesser

et al. 2008

Advances in Urology

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The understanding and management of Peyronie's disease (PD) has improved but elucidating the exact etiology of the disease has yet to be achieved. In this paper, we review the historical and clinical aspects of PD. We focus on the evolution of surgical management for PD and review recent published articles that compare popular surgical techniques such as plication and plaque incision with vein graft. These two techniques have been reported to be equivalent with respect to patient satisfaction; however, each technique has its own advantages and disadvantages.

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“…Surgical interventions to straighten the penis have been the mainstay. 3 However, these procedures have significant risks, such as penile shortening, reduced sensation, and impotence. 4 Consequently, a wide range of conservative therapies have been proposed, including radiation; 5 oral drugs such as Potaba, 6 tamoxifen, 7 colchicine, 8 and vitamin E; 9 and intralesional injections of verapamil 10 and interferon.…”

Section: Introduction P Eyronie's Disease (Pd) Is a Benign Afflictionmentioning

confidence: 99%

Extracorporeal Shockwave Therapy for Peyronie's Disease: Who Benefits?

Taylor

Forster

Browning

et al. 2006

Journal of Endourology

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Surgical alternatives for treating Peyronie's disease

Cited by 36 publications

References 55 publications

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

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

Review of the Surgical Approaches for Peyronie's Disease: Corporeal Plication and Plaque Incision with Grafting

Extracorporeal Shockwave Therapy for Peyronie's Disease: Who Benefits?

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