Ten years outcome analysis of corporeal plication for Peyronie’s Disease

Fazili, Tajammul; Kouriefs, Chryssanthos; Anjum, Faqar; Masood, Shikohe; Mufti, G. R.

doi:10.1007/s11255-006-9015-7

Cited by 10 publications

(7 citation statements)

References 15 publications

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“…Many studies reported similar results of plication compared with classical Nesbit's procedure and found plication to be equally effective (Mufti et al ., ) in treating the curvature and referring to postoperative patient's satisfaction (Geerstsen et al ., ; Thiounn et al ., ; Gholami & Lue, ; Adeniyi et al ., ; Fazili et al ., ).…”

Section: Discussionmentioning

confidence: 97%

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

et al. 2017

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Peyronie's disease (PD) is an acquired connective tissue disorder of the tunica albuginea with fibrosis and inflammation that lead to palpable plaques formation, penile curvature, and pain during erection. Patients report negative effects on main domains such as physical appearance and self-image, sexual function, and performance. The aim of this study was to evaluate plication of the albuginea outcomes after a long-term follow-up period. Between 1998 and 2006, a total of 204 patients with PD underwent surgical correction with albuginea plication technique. We obtained complete long-term follow-up data in 187 cases. The follow-up data included evaluation of curvature correction, penile shortening, sexual function, complications, and patient satisfaction. After a mean follow-up of 141 months, the most common postoperative complications were: loss of length (150 patients had a minimal penile shortening ≤1.5 cm, 37 patient between 1.5, and 3 cm, none >3 cm), recurrent or residual penile curvature (15 patients, without impairing sexual intercourse), erectile dysfunction (15 patients had IIEF-5 < 10 at 5 years of follow-up vs. 28 patients at 10 years), change in penile sensation (37 patients experienced paresthesia of the glans 1 year after surgery, 28 at 5 years, and 15 at 10 years); painful or palpable suture knots (in 20 cases) spontaneously healed in 3 months. Overall, 77% of the patients and partners were completely satisfied, 14% partially satisfied, and 9% unsatisfied. Plication procedure is safe and simple to be performed compared with the classical Nesbit's procedure. It has a shorter surgical time, lower costs, and could be successfully performed by less experienced surgeons too. It has a minimal risk of de novo erectile dysfunction, injury to the dorsal neurovascular bundle. Results are good in terms of patient satisfaction according to anatomical outcome and functional correction.

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Section: Discussionmentioning

confidence: 97%

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

et al. 2017

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“…Preoperative discussion of expected outcomes with surgery is important to assess the patient's goals of surgery and establish appropriate expectations . Several long‐term follow‐up studies have indicated moderate‐to‐high levels of dissatisfaction among patients receiving surgery . One study of PD patients undergoing surgical management, with >5 years follow up, reported dissatisfaction in approximately two‐thirds of patients, with recurrence of penile curvature, penile length loss and new‐onset ED being contributing factors .…”

Section: Treatment Considerationsmentioning

confidence: 99%

“…One study of PD patients undergoing surgical management, with >5 years follow up, reported dissatisfaction in approximately two‐thirds of patients, with recurrence of penile curvature, penile length loss and new‐onset ED being contributing factors . Similarly, in a second long‐term study reviewing outcomes of corporeal plication surgery, 29% of patients reported dissatisfaction with function, primarily because of pain, ED and/or persistent deformity . Other long‐term studies with a minimum 4‐year follow up have reported dissatisfaction rates as high as 66%, with decreased penile length as a common complaint .…”

Section: Treatment Considerationsmentioning

confidence: 99%

Understanding the course of Peyronie's disease

et al. 2013

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“…Potential complications associated with surgery include penile shortening, sensation change, recurrence of penile curvature, and subsequent erectile dysfunction (Chung et al, 2010;Kadioglu et al, 2006). Surgical complications or unexpected outcomes can have psychological consequences in addition to the psychological components of Peyronie's disease itself and may result in patient dissatisfaction with surgery (Akin-Olugbade et al, 2006;Chung et al, 2010;Fazili et al, 2007;Paez et al, 2007). Given the potential complications or recurrence of disease after surgery, patient expectations must be managed carefully (Akin-Olugbade et al, 2006;Hauck, 2006;Kim et al, 2008;Usta et al, 2003).…”

Section: Effects Of Treatment For Peyronie's Diseasementioning

confidence: 99%

The Impact of Peyronie's Disease on the Patient: Gaps in Our Current Understanding

Goldstein

Hartzell

Shabsigh

2015

Journal of Sex & Marital Therapy

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Peyronie's disease results in a fibrous inelastic scar or hard plaque of the tunica albuginea of the penis that causes penile curvature deformity during erection that can be painful, distressing, and an impediment to sexual intercourse. In this article, the authors examine the knowledge gaps and research needs regarding the effect of Peyronie's disease on the patient's physical and psychological quality of life and on interpersonal relationships. On PubMed, the authors used the search terms Peyronie's disease, psychological, psychotherapy, male sexual dysfunction, partner, comorbid disease, satisfaction, and pain. Four categories describing the effect of Peyronie's disease were identified: (a) sexual dysfunction due to pain and altered penile shape, (b) psychological effects, (c) partner and relationship effects, and (d) effects of treatment options for Peyronie's disease. Results indicate that the examination of interventions aimed at education, coping, relationship distress, and sex therapy that may significantly improve patient quality of life is a core unmet need in Peyronie's disease. For many patients, the effect of Peyronie's disease is functional and psychological. Both aspects should be evaluated and treated in patients, which may require a referral. The physical pain, emotional distress and isolation, and partner and relationship discord that may be present require more attention.

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Ten years outcome analysis of corporeal plication for Peyronie’s Disease

Abstract: Corporeal plication is an effective surgical option for the correction of penile deformity in patients with Peyronie's disease, with good cosmetic results and acceptable functional success rate in the long-term.

Cited by 10 publications

References 15 publications

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

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

Understanding the course of Peyronie's disease

The Impact of Peyronie's Disease on the Patient: Gaps in Our Current Understanding

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