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Application of human amniotic membrane in canine penile tunica albuginea defect: first step toward an innovating new method for treatment of Peyronie's disease.

AbstractPURPOSES:
To evaluate the efficacy of human amniotic membrane (AM) grafting in the canine penile tunica albuginea defect; we developed an animal model as the first step toward an innovating new method for the treatment of Peyronie's disease, penile cancers, and congenital deformities of the penis.
MATERIAL AND METHODS:
From August to September 2011, ten healthy male dogs were selected. A rhomboid incision about 3 x 2 cm over the tunica albuginea and its overlying squamous epithelium was made and then excised. The amniotic membrane was folded twice on itself and grafted on the defect. After 8 weeks, artificial erection was made for 5 dogs and for the other 5 dogs after 12 weeks. After artificial erection, partial penectomy was done and histopathological evaluation was performed on the grafts.
RESULTS:
Artificial erection performed successfully in all of the dogs. No infection or any other complication was seen. Histopathological examination showed complete re-epithelialization with squamous epithelium and collagen fiber deposition. Also, no dysplasia was seen.
CONCLUSIONS:
The amniotic membrane can be used as a suitable substitution for tunica albuginea. It is safe, inexpensive, biodegradable, and available and may be used for the treatment of Peyronie ' s disease, penile cancers, congenital penile deformities, and penile reconstructive surgery.
AuthorsM Salehipour, K Izadpanah, A Safaei, M Kamranpoor, M R Farsiani
JournalInternational braz j urol : official journal of the Brazilian Society of Urology (Int Braz J Urol) Vol. 40 Issue 3 Pg. 400-7 ( 2014) ISSN: 1677-6119 [Electronic] Brazil
PMID25010307 (Publication Type: Evaluation Study, Journal Article)
Topics
  • Absorbable Implants
  • Amnion (transplantation)
  • Animals
  • Dogs
  • Humans
  • Male
  • Models, Animal
  • Penile Induration (pathology, surgery)
  • Penile Neoplasms (surgery)
  • Penis (abnormalities, pathology, surgery)
  • Reproducibility of Results
  • Time Factors
  • Treatment Outcome

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