The comparison of an acellular matrix graft with an autologous venous graft in the surgical treatment of Peyronie's disease

Abstract

The aim of this study was to evaluate acellular porcine pericardium (APP) and compared the results with those obtained from venous grafts in the surgical management of Peyronie's disease (PD). An APP (Group 1) and an autologous saphenous vein graft (Group 2) were used in 27 and 26 patients, respectively for Peyronie's correction. The patients' age, body mass index (BMI), operation time, duration of follow-up, preoperative and postoperative IIEF-5 scores, plaque size and loss of sensation were evaluated in both groups. There were no differences between the two groups in terms of age, BMI, follow-up period, and preoperative and postoperative IIEF-5 scores. The postoperative IIEF-5 scores were higher than the preoperative IIEF-5 scores in both groups. The operation time was significantly longer in Group 2 than in Group 1. The duration of sensation loss was shorter in Group 1 compared to Group 2. Penile shortening was similar in both groups.

Saphenous Vein Graft for Treatment of Peyronie’s Disease, a Comparison between Single and Multiple Graft Reconstruction

“…Peyronie's disease (PD) is a fairly common condition with a 2-8.9% prevalence, which is likely underestimated due to the shame of declaring it 1 . PD is an acquired condition in which a fibrous plaque is formed by www.wjps.ir an unknown etiology and causes the penile shaft to deviate from its normal axis 2 . Risk factors include trauma, hypertension, diabetes, dyslipidemia, coronary arterial disease, psychological disorders, smoking, and previous urologic surgeries 2 .…”

“…PD is an acquired condition in which a fibrous plaque is formed by www.wjps.ir an unknown etiology and causes the penile shaft to deviate from its normal axis 2 . Risk factors include trauma, hypertension, diabetes, dyslipidemia, coronary arterial disease, psychological disorders, smoking, and previous urologic surgeries 2 . Patients complain of discomfort during intercourse, pain (especially during erection), palpable plaques, and erectile dysfunction (ED) 1 .…”