Cargando…

The Therapeutic Effects of Intracavernosal Plaque Excision in Peyronie’s Disease: A None Grafting or Tunical Excising Procedure

BACKGROUND: Current surgical treatments in Peyronie’s disease are accompanied by complications such as penile shortening, loss of sensation, erectile dysfunction and recurrence of disease. The aim of this study was the evaluation of clinical results of intracavernosal plaque excision in Peyronie’s d...

Descripción completa

Detalles Bibliográficos
Autores principales: Ahmadnia, Hassan, Kamalati, Ali, Younesi Rostami, Mehdi, Imani, Mohammad Mehdi, Asadpour, Amir Abbas, Hariri, Mohammad Kazem
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Iranian Society for Plastic Surgeons 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4904141/
https://www.ncbi.nlm.nih.gov/pubmed/27308243
_version_ 1782437104480944128
author Ahmadnia, Hassan
Kamalati, Ali
Younesi Rostami, Mehdi
Imani, Mohammad Mehdi
Asadpour, Amir Abbas
Hariri, Mohammad Kazem
author_facet Ahmadnia, Hassan
Kamalati, Ali
Younesi Rostami, Mehdi
Imani, Mohammad Mehdi
Asadpour, Amir Abbas
Hariri, Mohammad Kazem
author_sort Ahmadnia, Hassan
collection PubMed
description BACKGROUND: Current surgical treatments in Peyronie’s disease are accompanied by complications such as penile shortening, loss of sensation, erectile dysfunction and recurrence of disease. The aim of this study was the evaluation of clinical results of intracavernosal plaque excision in Peyronie’s disease. METHODS: The operation was performed on 35 men. It was consisted of incising the tunica albuginea parallel to the plaque and through this incision, and the plaque was removed from the inside surface without excision or replacing the underlying tunica albuginea by grafts. All patients were evaluated before and periodically within 12 months after the surgery with measurement of penile length, curvature angle in the rigidity phase, and sexual satisfaction. RESULTS: The mean age of patients was 51.4±5.3 years (range 42-59 years). The angle of penile curvature was 25-45° (mean=35°). Thirty patients (86%) obtained a nearly complete straightening of penis. All patients restored their previous penile length without any disorder of sensation within the glans penis and expressed improvement of sexual activity. CONCLUSION: Intracavernosal plaque excision is a simple, easy and minimal invasive method that does not result in penile shortening, loss of sensation or erectile dysfunction. In properly selected patients, this technique can lead to acceptable elimination of penile curvature and sexual satisfaction.
format Online
Article
Text
id pubmed-4904141
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Iranian Society for Plastic Surgeons
record_format MEDLINE/PubMed
spelling pubmed-49041412016-06-15 The Therapeutic Effects of Intracavernosal Plaque Excision in Peyronie’s Disease: A None Grafting or Tunical Excising Procedure Ahmadnia, Hassan Kamalati, Ali Younesi Rostami, Mehdi Imani, Mohammad Mehdi Asadpour, Amir Abbas Hariri, Mohammad Kazem World J Plast Surg Short Communication BACKGROUND: Current surgical treatments in Peyronie’s disease are accompanied by complications such as penile shortening, loss of sensation, erectile dysfunction and recurrence of disease. The aim of this study was the evaluation of clinical results of intracavernosal plaque excision in Peyronie’s disease. METHODS: The operation was performed on 35 men. It was consisted of incising the tunica albuginea parallel to the plaque and through this incision, and the plaque was removed from the inside surface without excision or replacing the underlying tunica albuginea by grafts. All patients were evaluated before and periodically within 12 months after the surgery with measurement of penile length, curvature angle in the rigidity phase, and sexual satisfaction. RESULTS: The mean age of patients was 51.4±5.3 years (range 42-59 years). The angle of penile curvature was 25-45° (mean=35°). Thirty patients (86%) obtained a nearly complete straightening of penis. All patients restored their previous penile length without any disorder of sensation within the glans penis and expressed improvement of sexual activity. CONCLUSION: Intracavernosal plaque excision is a simple, easy and minimal invasive method that does not result in penile shortening, loss of sensation or erectile dysfunction. In properly selected patients, this technique can lead to acceptable elimination of penile curvature and sexual satisfaction. Iranian Society for Plastic Surgeons 2016-01 /pmc/articles/PMC4904141/ /pubmed/27308243 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Short Communication
Ahmadnia, Hassan
Kamalati, Ali
Younesi Rostami, Mehdi
Imani, Mohammad Mehdi
Asadpour, Amir Abbas
Hariri, Mohammad Kazem
The Therapeutic Effects of Intracavernosal Plaque Excision in Peyronie’s Disease: A None Grafting or Tunical Excising Procedure
title The Therapeutic Effects of Intracavernosal Plaque Excision in Peyronie’s Disease: A None Grafting or Tunical Excising Procedure
title_full The Therapeutic Effects of Intracavernosal Plaque Excision in Peyronie’s Disease: A None Grafting or Tunical Excising Procedure
title_fullStr The Therapeutic Effects of Intracavernosal Plaque Excision in Peyronie’s Disease: A None Grafting or Tunical Excising Procedure
title_full_unstemmed The Therapeutic Effects of Intracavernosal Plaque Excision in Peyronie’s Disease: A None Grafting or Tunical Excising Procedure
title_short The Therapeutic Effects of Intracavernosal Plaque Excision in Peyronie’s Disease: A None Grafting or Tunical Excising Procedure
title_sort therapeutic effects of intracavernosal plaque excision in peyronie’s disease: a none grafting or tunical excising procedure
topic Short Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4904141/
https://www.ncbi.nlm.nih.gov/pubmed/27308243
work_keys_str_mv AT ahmadniahassan thetherapeuticeffectsofintracavernosalplaqueexcisioninpeyroniesdiseaseanonegraftingortunicalexcisingprocedure
AT kamalatiali thetherapeuticeffectsofintracavernosalplaqueexcisioninpeyroniesdiseaseanonegraftingortunicalexcisingprocedure
AT younesirostamimehdi thetherapeuticeffectsofintracavernosalplaqueexcisioninpeyroniesdiseaseanonegraftingortunicalexcisingprocedure
AT imanimohammadmehdi thetherapeuticeffectsofintracavernosalplaqueexcisioninpeyroniesdiseaseanonegraftingortunicalexcisingprocedure
AT asadpouramirabbas thetherapeuticeffectsofintracavernosalplaqueexcisioninpeyroniesdiseaseanonegraftingortunicalexcisingprocedure
AT haririmohammadkazem thetherapeuticeffectsofintracavernosalplaqueexcisioninpeyroniesdiseaseanonegraftingortunicalexcisingprocedure
AT ahmadniahassan therapeuticeffectsofintracavernosalplaqueexcisioninpeyroniesdiseaseanonegraftingortunicalexcisingprocedure
AT kamalatiali therapeuticeffectsofintracavernosalplaqueexcisioninpeyroniesdiseaseanonegraftingortunicalexcisingprocedure
AT younesirostamimehdi therapeuticeffectsofintracavernosalplaqueexcisioninpeyroniesdiseaseanonegraftingortunicalexcisingprocedure
AT imanimohammadmehdi therapeuticeffectsofintracavernosalplaqueexcisioninpeyroniesdiseaseanonegraftingortunicalexcisingprocedure
AT asadpouramirabbas therapeuticeffectsofintracavernosalplaqueexcisioninpeyroniesdiseaseanonegraftingortunicalexcisingprocedure
AT haririmohammadkazem therapeuticeffectsofintracavernosalplaqueexcisioninpeyroniesdiseaseanonegraftingortunicalexcisingprocedure