The Lue procedure: an analysis of the outcome in Peyronie's disease

BJU International - Tập 89 Số 4 - Trang 404-408 - 2002
Abimbola A. Adeniyi1, S.R. Goorney1, J. P. PRYOR1, David Ralph1
1The Institute of Urology and Nephrology, London, UK

Tóm tắt

ObjectiveTo assess the Lue procedure (plaque incision and venous grafting) for correcting the penile deformity of Peyronie's disease (which can cause penile shortening and erectile dysfunction) as an alternative to the Nesbit procedure (which can worsen the shortening).Patients and methodsFifty‐one patients (mean age 51 years, range 27–68) with Peyronie's disease had their penile deformity corrected by plaque incision and saphenous vein grafting. All patients had stable Peyronie's disease and a mean (range) penile deformity of 57 (20–90)°. The vein graft was taken from the long saphenous vein at the ankle or groin and several sites grafted in 14 patients. The mean follow‐up was 16 months.ResultsAn excellent or satisfactory result was obtained in 47 patients (92%); the penis was completely straightened in 42 (82%). Four patients (8%) developed postoperative erectile dysfunction. Eighteen men (35%) had some degree of penile shortening (> 1 cm in eight), among whom intercourse was affected to a variable extent in six (12%).ConclusionThe Lue procedure is an effective option in the surgical management of Peyronie's disease, but penile shortening after surgery remains a risk.

Từ khóa


Tài liệu tham khảo

Vale JA, 1996, Vascular Andrology – Erectile Dysfunction, Priapism and Varicocele, 78

10.1016/S0022-5347(17)56530-1

10.1016/S0022-5347(17)38447-1

10.1016/S0022-5347(17)55682-7

Austoni E, 1994, Evaluation of corpora alterations and erectile dysfunction following radical surgery for Peyronie's disease and long‐term follow‐up on 152 operated patients, J Androl, 15, 57S, 10.1002/j.1939-4640.1994.tb01708.x

10.1016/S0022-5347(17)59886-9

10.1016/0090-4295(82)90010-3

10.1016/S0022-5347(01)62239-0

10.1111/j.1464-410X.1992.tb15635.x

Fournier RG Jr, 1993, Peyronie's plaque. Surgical treatment with the carbon dioxide laser and deep dorsal vein patch graft, J Urol, 149, 1321, 10.1016/S0022-5347(17)36382-6

10.1016/S0022-5347(01)66862-9

10.1038/sj.ijir.3900390

10.1016/S0022-5347(17)35766-X

10.1016/S0022-5347(01)67326-9

10.1016/0090-4295(94)90187-2

10.1038/sj.ijir.3900375

10.1080/003655999750015961

10.1016/S0022-5347(05)67525-8

10.1016/S0022-5347(01)62240-7

Jardin A, 2000, Erectile Dysfunction – WHO, SIU and ISSIR 1st International Consultation on Erectile Dysfunction, 437

Thông tin
Thông tin xuất bản

BJU International

Tập 89 Số 4

404-408

Thông tin tác giả