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At least 181 records · Page 10Linked to original sources
PubMed1999

A modified corporoplasty for treating congenital penile curvature and reducing the incidence of palpable indurations.

OBJECTIVE: To reduce the incidence of postoperative palpable induration after treating congenital penile curvature, using a modified corporoplasty technique. PATIENTS AND METHODS: In a retrospective unrandomized clinical trial, 105 patients with a congenital penile angulation of >30 degrees and for whom coitus was therefore difficult or impossible, underwent surgical correction. Of the 105 patients, 55 underwent the Nesbit-Kelâmi technique, whereby a diamond-shaped section of the tunica albuginea is excised and the defect closed with an interrupted suture. The remaining 50 patients underwent the modified corporoplasty, the edges of the tunica albuginea being brought together with a continuous, blood-tight, intratunical suture, and the end knots buried. RESULTS: The early results (<6 months) were comparable in both groups, with correction of the curvature in 94% and 95%, and postoperative complications in 14% and 15%. There were fewer postoperative haematomas in those undergoing modified corporoplasty (6% vs 18%). The late results (>6 months) also showed that these patients developed fewer palpable indurations (16% vs 44%). CONCLUSION: The modified corporoplasty reduced the incidence of postoperative haematoma and late complications (e.g. palpable indurations) after the surgical correction of congenital penile curvature.

Adolescent↗
PubMedDate not supplied

[Surgical treatment of erectile dysfunction in Peyronie's disease].

Methods of surgical treatment of fibroplastic induration of the penis are briefly reviewed. Supplements to classification of Peyronie's disease are proposed regarding the degree of erectile dysfunction and the angle of the penis deformity in erection. The authors analyse the results of operations performed from 1987 to 2000: Nesbit's operation (n = 13), intracavernous penis prosthesis (n = 48), dissection of the fibrous plaque, the defect repair with preserved dura mater followed by intracavernous prosthesis (n = 10). Indications for various surgical procedures in Peyronie's disease are described.

Adult↗
PubMed2000

Penile straightening with crural graft of the corpus cavernosum.

PURPOSE: We present a surgical alternative to penile straightening in Peyronie's disease that avoids penile shortening by using tissue from the crural segment of the corpora cavernosa as a graft. MATERIALS AND METHODS: We treated 7 patients with stable Peyronie's disease and satisfactory penile rigidity but significant curvature that precluded intercourse with this technique. An incision is made in the fibrous area and after stretching the gap is covered with a graft removed from the crural segment of the corpora cavernosa. RESULTS: In 6 of the 7 men straightening was satisfactory but in 1 it was not complete. No patient reported worse penile rigidity postoperatively. Donor site healing was uneventful. CONCLUSIONS: Use of tissue from the corpus cavernosum to correct penile curvature is effective. However, our results are preliminary, and long-term effectiveness and safety must be confirmed in a larger number of cases.

Humans↗
PubMed2004

Peyronie's disease: advancements in recent surgical techniques.

PURPOSE OF REVIEW: The aim of this review is to discuss the recent advances in surgical techniques for the correction of Peyronie's disease. A review of the literature published in 2002 and 2003 regarding surgical treatment was performed in preparation for this article. RECENT FINDINGS: The surgical treatment of Peyronie's disease remains a debated topic. Generally, surgical therapy for Peyronie's disease can be divided into three main categories: wedge resection/plication surgeries; plaque excision/incision with grafting procedures; and the placement of a penile prosthesis. New reports have investigated suture selection, graft acceptability, and new surgical approaches. These new surgical enhancements will give urologists a greater choice in the surgical management of Peyronie's disease. This will aid the ability of the urologist to tailor the therapy necessary for each individual patient. SUMMARY: The correction of acquired penile deformity seen in Peyronie's disease patients can be a challenge for the practising urologist. Newer advancements in surgical techniques and materials will allow the urologist greater treatment options. The degree of curvature, the type of deformity, erectile dysfunction, and penile length are all characteristics that are assessed in choosing the best surgical intervention in Peyronie's disease. Surgical therapy can be quite beneficial for patients who suffer from penile deformity and can greatly improve their quality of life.

Humans↗