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Peyronie’s Disease

Surgical Straightening With Tunica Plication and Tunica Transfer

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Peyronie’S Disease

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

The objective of surgical treatment for Peyronie’s disease is to restore a painless, straight, and natural erection that is sufficient for intercourse. Plication procedures are associated with penile shortening, especially in cases of excessive curvature or rotation. Grafting procedures may prevent penile shortening, but they are often associated with poor postoperative anatomical and functional results caused by graft shrinkage and postoperative graft-associated corporeal veno-occlusive dysfunction. Surgical straightening of penile curvature with tunica plication and tunica albuginea free grafts is a simple and highly efficacious treatment modality with excellent functional results. It is associated with minimal postoperative shortening and eliminates major immediate and late complications, including recurrent curvature. It preserves erectile capacity in men with preoperative normal erectile function. Initial long-term patient satisfaction data, with lasting cosmetic and functional results, indicate that the proposed technique may be used as the indicated procedure for successful surgical treatment of excessive congenital or acquired penile curvature malformation.

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References

  1. Gelbard MK, Dorey F, James K. ThenaturalhistoryofPeyronie’sdisease. JUrol 1990; 144:1376–1379.

    CAS  Google Scholar 

  2. Devine CJ Jr, Somers KD, Jordan SG, Schlossberg SM. Proposal: trauma as the cause of the Peyronie’ s lesion. J Urol 1997; 157: 285–290.

    Article  PubMed  Google Scholar 

  3. El-Sakka AI, Hassoba HM, Pillarisetty RJ, Dahiya R, Lue TF. Peyronie’s disease is associated with an increase in transforming growth factor-beta protein expression. J Urol 1997; 158: 1391–1394.

    Article  PubMed  CAS  Google Scholar 

  4. Pryor J, Akkus E, Alter G, et al. Peyronie’s disease. J Sex Med 2004; 1: 110–115.

    Article  PubMed  Google Scholar 

  5. Rehman J, Benet A, Minsky LS, Melman A. Results of surgical treatment for abnormal penile curvature: Peyronie’s disease and congenital deviation by modified Nesbit plication (tunical shaving and plication). J Urol 1997; 157: 1288–1291.

    Article  PubMed  CAS  Google Scholar 

  6. Bailey MJ, Yande S, Walmsley B, Pryor JP. Surgery for Peyronie’s disease. A review of 200 patients. Br J Urol 1985; 57: 746–749.

    Article  PubMed  CAS  Google Scholar 

  7. Metz P, Ebbehoj J, Uhrenholdt A, Wagner G. Peyronie’s disease and erectile failure. J Urol 1983; 130: 1103–1104.

    PubMed  CAS  Google Scholar 

  8. Poulsen J, Kirkeby HJ. Treatment of penile curvature—a retrospective study of 175 patients operated with plication of the tunica albuginea or with the Nesbit procedure. Br J Urol 1995; 75: 370–374.

    PubMed  CAS  Google Scholar 

  9. Ebbehoj J, Metz P. Congenital penile angulation. Br J Urol 1987; 60: 264–266.

    PubMed  CAS  Google Scholar 

  10. Yachia D. Modified corporoplasty for the treatment of penile curvature. J Urol 1990; 143: 80–82.

    PubMed  CAS  Google Scholar 

  11. Dalkin B L, Carter MF. Venogenic impotence following dermal graft repair for Peyronie’s disease. J Urol 1991; 146: 849–851.

    PubMed  CAS  Google Scholar 

  12. Faerber GJ, Konnak JW. Results of combined Nesbit penile plication with plaque incision and placement of Dacron patch in patients with severe Peyronie’s disease. J Urol 1993; 149: 1319–1320.

    PubMed  CAS  Google Scholar 

  13. Lue TF, El-Sakka AI. Venous patch graft for Peyronie’s disease. Part I: technique. J Urol 1998; 160: 2047–2049.

    Article  PubMed  CAS  Google Scholar 

  14. El-Sakka AI, Rashwan HM, Lue TF. Venous patch graft for Peyronie’s disease. Part II: outcome analysis. J Urol 1998; 160: 2050–2053.

    Article  PubMed  CAS  Google Scholar 

  15. Goldstein M, Blumberg N. Correction of severe penile curves with tunica albuginea autografts. J Urol 1988; 139: 1269–1270.

    PubMed  CAS  Google Scholar 

  16. Hatzichristou DG, Hatzimouratidis K, Apostolidis A, Tzortzis V, Bekos A, Ioannidis E. Corporoplasty using tunica albuginea free grafts for penile curvature: surgical technique and long-term results. J Urol 2002; 167: 1367–1370.

    Article  PubMed  Google Scholar 

  17. Teloken C, Grazziotin T, Rhoden E, et al. Penile straightening with crural graft of the corpus cavernosum. J Urol 2000; 164: 107–108.

    Article  PubMed  CAS  Google Scholar 

  18. Schwarzer JU, Muhlen B, Schukai O. Penile corporoplasty using tunica albuginea free graft from proximal corpus cavernosum: a new technique for treatment of penile curvature in Peyronie’ s disease. Eur Urol 2003; 44: 720–723.

    Article  PubMed  Google Scholar 

  19. Hellstrom WJ, Usta MF. Surgical approaches for advanced Peyronie’s disease patients. Int J Impot Res 2003; 15(suppl 5): S121–S124.

    Article  PubMed  Google Scholar 

  20. Fournier GR Jr, Lue TF, Tanagho EA. Peyronie’s plaque: surgical treatment with the carbon dioxide laser and a deep dorsal vein patch graft. J Urol 1993; 149: 1321–1325.

    PubMed  Google Scholar 

  21. Brock G, Nunes L, von Heyden B, Martinez-Pineiro L, Hsu GL, Lue TF. Can a venous patch graft be a substitute for the tunica albuginea of the penis? J Urol 1993; 150: 1306–1309.

    PubMed  CAS  Google Scholar 

  22. Schiffman ZJ, Gursel EO, Laor E. Use of Dacron patch graft in Peyronie disease. Urology 1985; 25: 38–40.

    Article  PubMed  CAS  Google Scholar 

  23. Krishnamurti S. Penile dermal flap for defect reconstruction in Peyronie’s disease: operative technique and four years’ experience in 17 patients. Int J Impot Res 1995; 7: 195–208.

    PubMed  CAS  Google Scholar 

  24. Gelbard MK, Hayden B. Expanding contractures of the tunica albuginea to Peyronie’s disease with temporalis fascia free grafts. J Urol 1991; 145: 772–776.

    PubMed  CAS  Google Scholar 

  25. Das S. Peyronie’s disease: excision and autografting with tunica vaginalis. J Urol 1980; 124: 818–819.

    PubMed  CAS  Google Scholar 

  26. Fallon B. Cadaveric dura mater graft for correction of penile curvature in Peyronie disease. Urology 1990; 35: 127–129.

    Article  PubMed  CAS  Google Scholar 

  27. Levine LA, Estrada CR. Human cadaveric pericardial graft for the surgical correction of Peyronie’s disease. J Urol 2003; 170: 2359–2362.

    Article  PubMed  Google Scholar 

  28. Bruschini H, Mitre AI. Peyronie disease: surgical treatment with muscular aponeurosis. Urology 1979; 13: 505–506.

    Article  PubMed  CAS  Google Scholar 

  29. Soergel TM, Cain MP, Kaefer M, et al. Complications of small intestinal submucosa for corporal body grafting for proximal hypospadias. J Urol 2003; 170: 1577–1578, 1578-1579.

    Article  PubMed  Google Scholar 

  30. Devine CJ Jr, Horton CE. Surgical treatment of Peyronie’s disease with a dermal graft. J Urol 1974; 111: 44–49.

    PubMed  Google Scholar 

  31. Brannigan RE, Kim ED, Oyasu R, McVary KT. Comparison of tunica albuginea substitutes for the treatment of Peyronie’s disease. J Urol 1998; 159: 1064–1068.

    Article  PubMed  CAS  Google Scholar 

  32. Levine L, Greenfield J, Estrada CR. Erectile dysfunction following surgical correction of Peyronie’s disease and a pilot study of the use of sildenafil citrate rehabilitation for postoperative erectile dysfunction. J Sex Med 2005; 2: 241–247.

    Article  PubMed  Google Scholar 

  33. Schultheiss D, Lorenz RR, Meister R, et al. Functional tissue engineering of autologous tunica albuginea: a possible graft for Peyronie’s disease surgery. Eur Urol 2004; 45: 781–786.

    Article  PubMed  Google Scholar 

  34. Schultheiss D, Meschi MR, Hagemann J, Truss MC, Stief CG, Jonas U. Congenital and acquired penile deviation treated with the essed plication method. Eur Urol 2000; 38: 167–171.

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. 2nd Department of Urology, Papageorgiou’ General Hospital, Center for Sexual and Reproductive Health, Aristotle University of Thessaloniki, Thessaloniki, Greece

    Konstantinos Hatzimouratidis MD, PhD & Dimitrios G. Hatzichristou MD, PhD

Authors
  1. Konstantinos Hatzimouratidis MD, PhD
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  2. Dimitrios G. Hatzichristou MD, PhD
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Editor information

Editors and Affiliations

  1. Rush University Medical Center, Chicago, IL

    Laurence A. Levine MD, FACS

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© 2007 Humana Press Inc., Totowa, NJ

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Hatzimouratidis, K., Hatzichristou, D.G. (2007). Peyronie’s Disease. In: Levine, L.A. (eds) Peyronie’S Disease. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-59745-161-1_16

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  • DOI: https://doi.org/10.1007/978-1-59745-161-1_16

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-614-6

  • Online ISBN: 978-1-59745-161-1

  • eBook Packages: MedicineMedicine (R0)

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