Penile Restoration using circular grafting - BJUI 2013

A single relaxing incision to correct different types of penile curvature- surgical technique based on geometrical principles.jpg

To report patient outcomes and satisfaction with our technique for penile length and girth restoration in severe Peyronie's disease (PD). 
 
PATIENTS AND METHODS:
Between November 2006 and November 2011, 105 men with severe PD and erectile dysfunction (ED) underwent surgical correction using our new approach. The technique consists of penile prosthesis implantation with concomitant penile lengthening and girth restoration through circular and longitudinal incisions in the tunica albuginea according to geometric principles. 
 
RESULTS:
The overall patient satisfaction rate was 89.4%. The mean (sd; range) functional penile length gain was 3.6 (0.7; 2-5) cm. Patient satisfaction with penile length gain was 95.2%. Three patients (2.9%) developed retraction with residual curvature of up to 30°, but no re-operation was necessary. In one (1%) patient, the prosthesis had to be removed because of wound infection. At a mean (sd; range) follow-up of 18.2 (5.9; 6-46) months, 104 patients (99%) were able to have sexual intercourse. 
 
CONCLUSIONS:
Our surgical approach for penile length and girth restoration leads to high patient satisfaction rates and excellent functional outcomes. Our surgical approach is a safe and valid therapeutic method for the treatment of severe PD associated with ED.

Egydio PH, Kuehhas FE, Sansalone S. Penile Length and Girth Restoration in Severe Peyronie's Disease Using Circular and Longitudinal Grafting. BJU Int. 2013 Apr;111(4 Pt B):E213-9.

 
Dr. Paulo Egydio

MD, PhD, Referência Mundial no Tratamento da Doença de Peyronie, Pênis Curvo e Implante de Próteses Penianas. Doutor em Urologia pela USP, CRM 67482.





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