Treatment of penile curvature — a retrospective study of 175 patients operated with plication of the tunica albuginea or with the Nesbit procedure

Poulsen, Jens Aage; Kirkeby, Hans Jørgen

doi:10.1111/j.1464-410x.1995.tb07351.x

Cited by 93 publications

(86 citation statements)

References 12 publications

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“…Besides penile shortening due to the plication technique itself, the main complication of the Essed-Schroeder technique remains the recurrent curvature during long-term follow-up up in 23%, 8 26%, 11 27%, 10 and 57%, 12 respectively, of the cases as reported in four studies, while other studies observed minor alterations only. 14 -16 The reason for the recurrent curvature has not been elucidated.…”

Section: Discussionmentioning

confidence: 59%

“…This phenomenon, that indicates an initial deterioration, is similar to other observations and thus obviously does not depend upon the suture material and the technique of knotting used. 8,10,12 A possible reason for this recurrence can be explained either because of partial or complete rupture of plication nodes through the tunica due to the increase of pressure during erection. As mentioned above, three studies reported only negligible recurvature; 14 -16 while our and the other mentioned series observed a higher incidence of recurrent deviation.…”

Section: Discussionmentioning

confidence: 99%

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Long-term results of Essed–Schroeder plication by the use of non-absorbable Goretex™ sutures for correcting congenital penile curvature

et al. 2002

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This study evaluated the long-term outcome of the Essed -Schroeder procedure for correcting congenital penile curvature using non-absorbable Goretex 2 sutures. The Essed -Schroeder procedure was performed in 35 patients with congenital ventral penile curvature (minimum 30). Follow-up included a standardized interview with measurement of angulation. Twenty-three of 35 patients were available for complete long-term follow-up (average 34.3 months). The mean preoperative ventral curvature was 54. In 17=23 patients, the penis remained straightened. Recurrent curvature (average 23 ) was observed in six of 23 patients. Fifteen of 23 patients complained of penile shortening (average 1.8 cm). Two of 23 patients reported disturbing side effects that were caused by plication nodes. In most cases, the results of penile straightening by the Essed -Schroeder procedure are excellent with a high grade of subjective satisfaction. Regarding the main problem, that is recurrent curvature, there is no decisive advantage of applying Goretex 2 sutures. Discomfort caused by plication nodes can be reduced to a minimum by using a combination of soft Goretex 2 sutures with the 'inverting stitch-technique'.

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Long-term results of Essed–Schroeder plication by the use of non-absorbable Goretex™ sutures for correcting congenital penile curvature

et al. 2002

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“…Other surgeons would also appear to have had good results 8,14,15 and these are summarised in Table 7. The technique of the Nesbit procedure has been modi®ed by many authors but overall the results of plication are more variable and often inferior by as much as 30%.…”

mentioning

confidence: 99%

“…The technique of the Nesbit procedure has been modi®ed by many authors but overall the results of plication are more variable and often inferior by as much as 30%. 15 …”

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confidence: 99%

Correction of penile curvature and Peyronie’s disease: why I prefer the Nesbit technique

Pryor

1998

Int J Impot Res

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In Peyronie's disease I found that the complication rate after plaque excision and dermal grafting to be high and started to use the Nesbit technique for the correction of penile deformity. Since 1977, the overall results have been satisfactory in 82% of 359 patients. The results improved when those patients with an impaired erection were assessed by colour doppler studies and a penile prosthesis implanted in those with a vasculogenic de®cit. Post operative complications of the Nesbit technique are few and penile shortening was not a problem.

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“…In the plication technique, using nonabsorbable sutures, the main complication is the recurrent curvature that occurs in 25% of patients during the first weeks. 3,6,7 Tunical plication with corporeal shaving ensures permanent adhesion of the plicated tunical layers, eliminating the need for dependence on nonabsorbable sutures and avoiding or reducing the incidence of recurrent curvature.…”

Section: Discussionmentioning

confidence: 99%

Corporeal herniation after Nesbit plication with partial thickness shaving for congenital penile curvature

et al. 2003

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A 24-year-old man with penile congenital curvature who underwent partial thickness tunical shaving and plication with absorbable suture presented 1 month after surgery with a mass at the base of the right corpus cavernosum at the level of the original plication. We believe that corporeal herniation after tunical shaving and plication must be considered a complication of the technique independent from the type of suture used for the plicatures and probably related both to the opening of plications of the albuginea before permanent adhesion of the tunical layers, and to the decreased resistance of the albuginea, probably because of excessive shaving.

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Treatment of penile curvature — a retrospective study of 175 patients operated with plication of the tunica albuginea or with the Nesbit procedure

Cited by 93 publications

References 12 publications

Long-term results of Essed–Schroeder plication by the use of non-absorbable Goretex™ sutures for correcting congenital penile curvature

Long-term results of Essed–Schroeder plication by the use of non-absorbable Goretex™ sutures for correcting congenital penile curvature

Correction of penile curvature and Peyronie’s disease: why I prefer the Nesbit technique

Corporeal herniation after Nesbit plication with partial thickness shaving for congenital penile curvature

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