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. 2022 Jan 12;3(3):220-225.
doi: 10.1002/bco2.130. eCollection 2022 May.

Multiple plaque incisions with or without grafting for Peyronie's disease

Paul K Hegarty  1 , Daniel O Sullivan  2 , Penelope A Hegarty  1 , Helen Zafirakis  1
Affiliations

Multiple plaque incisions with or without grafting for Peyronie's disease

Paul K Hegarty et al. BJUI Compass. .

Abstract

Objectives: To assess novel surgical techniques in management of Peyronie's disease.

Subjects: Forty-three men underwent corrective surgery using either partial plaque incision and nongraft (PPING) or multiple plaque incisions and graft (MPIG). The technique used was determined intra-operatively. Patients were assessed at baseline and follow-up based on Peyronie's disease questionnaire patient-reported outcome measure (PDQ-PROM) and erectile function.

Results: The two groups were well matched in age and erectile function. At baseline MPIG group had greater deformity and poorer patient-reported outcome. Penile curvature improved from 67.9° to 10.5° in the PPING group and 77.9° to 7.1° with MPIG. PDQ-PROM improved from 29 to 13 in those who underwent PPING and 38.5 to 17.6 in those undergoing MPIG. Erectile function was preserved in both groups.

Conclusions: These novel surgeries are effective in restoring penile shape and length while preserving erectile function. This is reflected in improved patient-reported outcomes. These findings should be verified by multi-institutional study.

Keywords: IIEF; PROM; Peyronie's disease; incision; plaque.

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Conflict of interest statement

None.

Figures

FIGURE 1
FIGURE 1
(A) Artificial erection. (B) Degloved penis. (C) Dorsal view, Buck's fascia has been mobilized. Transverse incisions of the plaque are confined to the outer layer of the tunica albuginea. (D) Closure of Buck's fascia
FIGURE 2
FIGURE 2
(A) Degloved penis. (B) Full thickness transverse incisions are made through tunica albuginea, while preserving underlying veins and erectile tissue. (C) Collagen fleece covers full thickness tunical defects, placed deep to Buck's fascia. (D) Closure of Buck's fascia
FIGURE 3
FIGURE 3
(A) Penile angle (degrees) pre‐operatively and postoperatively for both procedures. (B) Penile erect length (cm) pre‐operatively and postoperatively for both procedures. (C) Patient‐reported outcome pre‐operatively and postoperatively for both procedures. (D) Erectile function outcome pre‐operatively and postoperatively for both procedures
See this image and copyright information in PMC

Comment in

References

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