Plication for Severe Peyronie's Deformities Has Similar Long-Term Outcomes to Milder Cases

The Journal of Sexual Medicine
Rohit S ReddyAllen F Morey

Abstract

Penile plication (PP) for Peyronie's disease (PD) is an established treatment option for mild to moderate curvature, but scant data exist regarding its utility in severe deformities. To evaluate long-term outcomes among men undergoing PP for PD, comparing severe to mild/moderate penile deformities. We performed a retrospective review of patients who underwent PP for PD between 2009 and 2017. All patients underwent multiple parallel tunical plication without degloving. Severe PD was defined as either curvature ≥60 degrees or biplanar curvature ≥35 degrees. Patient demographics and surgical outcomes were analyzed. A modified PD Questionnaire and International Index of Erectile Function (IIEF)-5 were administered by telephone. Long-term patient-reported outcomes were evaluated from a modified survey incorporating the PD Questionnaire and IIEF-5. Of 327 PP patients, 102 (31%) responded to the telephone survey at a median 59.5 months (interquartile range 28.3-84) since surgery. Patients were equally distributed into severe (n = 51) and mild/moderate (n = 51) groups. Despite a greater mean degree of curvature in severe compared to mild/moderate patients (71.6 degrees vs 37.7 degrees, respectively, P < .001), correction of penile curv...Continue Reading

Citations

Oct 5, 2019·International Journal of Impotence Research·Borja García-GómezJavier Romero-Otero
Apr 8, 2020·International Journal of Urology : Official Journal of the Japanese Urological Association·Matthew J ZiegelmannLaurence A Levine
May 6, 2020·International Journal of Impotence Research·Safar GamidovGennadiy Sukhikh

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