Penile Plication With or Without Degloving of the Penis Results in Similar Outcomes

Sexual Medicine - Tập 5 - Trang e142-e147 - 2017
Rustam Kadirov1, Burhan Coskun1, Onur Kaygisiz1, Kadir Omur Gunseren1, Yakup Kordan1, Ismet Yavascaoglu1, Hakan Kilicarslan1
1Department of Urology, Uludag University, School of Medicine, Bursa, Turkey

Tóm tắt

Abstract Background Penile plication techniques with or without degloving offer a minimally invasive option for the treatment of penile curvature. Aim To review the outcomes of penile plication surgery and patient satisfaction with and without degloving of the penis. Methods We conducted a retrospective analysis of 52 patients who underwent penile plication for the treatment of Peyronie disease or congenital penile curvature. Outcomes Surgical success rates, complications, and patient satisfaction determined with the Treatment Benefit Scale were compared between groups. Results The overall surgical success rate was 92.3% at a mean follow-up of 18.84 ± 23.51 months. There were no intraoperative complications. In the degloving group, 42.6% of patients were greatly satisfied and 42.6% had better outcomes; in the without degloving group, 61.5% of patients were greatly satisfied and 30.8% had better outcomes. Comparison of outcomes was not statistically significant between groups. Clinical Implications The results of the present study indicate the two techniques can be used for penile plication. Conclusion With or without degloving, penile plication is safe and effective and provides high patient satisfaction. Kadirov R, Coskun B, Kaygisiz O, et al. Penile Plication With or Without Degloving of the Penis Results in Similar Outcomes. Sex Med 2017;5:e142–e147.

Tài liệu tham khảo

Sommer, 2002, Epidemiology of Peyronie's disease, Int J Impot Res, 14, 379, 10.1038/sj.ijir.3900863 Hatzimouratidis, 2012, EAU guidelines on penile curvature, Eur Urol, 62, 543, 10.1016/j.eururo.2012.05.040 Nelson, 2008, The chronology of depression and distress in men with Peyronie’s disease, J Sex Med, 5, 1985 Langston, 2011, Peyronie disease: plication or grafting, Urol Clin North Am, 38, 207, 10.1016/j.ucl.2011.03.001 Mobley, 2012, Update on plication procedures for Peyronie's disease and other penile deformities, Ther Adv Urol, 4, 335, 10.1177/1756287212448224 Sullivan, 2015, Peyronie's disease: urologist's knowledge base and practice patterns, Andrology, 3, 260, 10.1111/andr.292 Baldini, 2017, Patient-reported long-term sexual outcomes following plication surgery for penile curvature: a retrospective 58-patient study, Prog Urol, 27, 10, 10.1016/j.purol.2016.08.018 Cantoro, 2014, Penile plication for Peyronie's disease: our results with mean follow-up of 103 months on 89 patients, Int J Impot Res, 26, 156, 10.1038/ijir.2014.6 Chung, 2014, Dorsal plication without degloving is safe and effective for correcting ventral penile deformities, Urology, 84, 1228, 10.1016/j.urology.2014.05.064 Li, 2013, Surgical treatment of Peyronie's disease by modified 16-dot placation in China, Transl Androl Urol, 2, 10 Yafi, 2015, Comparative analysis of tunical plication vs. intralesional injection therapy for ventral Peyronie's disease, J Sex Med, 12, 2492 Mandava, 2013, A critical analysis of the surgical outcomes for the treatment of Peyronie's disease, Arab J Urol, 11, 284, 10.1016/j.aju.2013.03.007 Dugi, 2010, Penoscrotal plication as a uniform approach to reconstruction of penile curvature, BJU Int, 105, 1440, 10.1111/j.1464-410X.2009.08991.x Adibi, 2012, Penile plication without degloving enables effective correction of complex Peyronie's deformities, Urology, 79, 831, 10.1016/j.urology.2011.12.036 Colman, 2008, Validation of treatment benefit scale for assessing subjective outcomes in treatment of overactive bladder, Urology, 72, 803, 10.1016/j.urology.2008.05.033 Ebbehøj, 1985, New operation for “krummerik” (penile curvature), Urology, 26, 76, 10.1016/0090-4295(85)90264-X Hudak, 2013, Favorable patient reported outcomes after penile plication for wide array of Peyronie disease abnormalities, J Urol, 189, 1019 Ko, 2014, Urologists' perceptions and practice patterns in Peyronie's disease: a Korean nationwide survey including patient satisfaction, Korean J Urol, 55, 57, 10.4111/kju.2014.55.1.57 van der Horst, 2004, Treatment of penile curvature with Essed-Schroder tunical plication: aspects of quality of life from the patients' perspective, BJU Int, 93, 105, 10.1111/j.1464-410X.2004.04566.x Gholami, 2002, Correction of penile curvature using the 16-dot plication technique: a review of 132 patients, J Urol, 167, 2066 Thiounn, 1998, Corporeal plication for surgical correction of penile curvature—experience with 60 patients, Eur Urol, 33, 401, 10.1159/000019624 Geertsen, 1996, Peyronie curvature treated by plication of the penile fasciae, Br J Urol, 77, 733, 10.1046/j.1464-410X.1996.97621.x Hauck, 2002, Long-term results of Essed-Schroeder plication by the use of non-absorbable Gore-Tex sutures for correcting congenital penile curvature, Int J Impot Res, 14, 146, 10.1038/sj.ijir.3900827