Abstract | INTRODUCTION: METHODS: Men undergoing penile prosthesis surgery for combined Peyronie's disease/ED constituted the study population. Residual curvature >10 degrees was deemed to warrant the use of a secondary maneuver to correct curvature. In this analysis, plaque release incisions were utilized and grafting was performed only if there was overt exposure of the prosthesis. RESULTS: 36 men were included in the analysis. All patients with preoperative curvatures <or=30 degrees had complete resolution of the penile curvature with full inflation of the prosthesis alone. Of patients who had >45 degrees curvature preoperatively, 86% needed plaque incision to achieve adequate penile straightening. Grafting was required in only 5.5% patients and both of these patients had preoperative curvature >60 degrees . CONCLUSIONS: In 61% of patients with combined Peyronie's disease/ED in this study, the placement of a three-piece inflatable penile prosthesis alone corrected the penile curvature. 86% of patients requiring plaque incision had preoperative curvatures >45 degrees . This information should enable surgeons to plan such operations more effectively and to counsel patients more comprehensively prior to operative intervention.
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Authors | John Mulhall, Absaar Ahmed, Mathew Anderson |
Journal | The journal of sexual medicine
(J Sex Med)
Vol. 1
Issue 3
Pg. 318-21
(Nov 2004)
ISSN: 1743-6095 [Print] Netherlands |
PMID | 16422963
(Publication Type: Journal Article)
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Topics |
- Erectile Dysfunction
(complications, surgery)
- Health Services Needs and Demand
- Humans
- Male
- Middle Aged
- Monitoring, Intraoperative
- Penile Induration
(complications, surgery)
- Penile Prosthesis
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