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Surgical Management of Peyronie’s Disease With Co-Existent Erectile Dysfunction

INTRODUCTION: Surgical intervention in Peyronie’s disease (PD) should ideally be delayed until the resolution of acute inflammatory phase. AIM: The objective of this review was to highlight the results of penile prosthesis to correct refractory erectile dysfunction (ED) in patients with PD, and the...

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Autores principales: Krishnappa, Pramod, Fernandez-Pascual, Esau, Carballido, Joaquin, Moncada, Ignacio, Lledo-Garcia, Enrique, Martinez-Salamanca, Juan Ignacio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6963125/
https://www.ncbi.nlm.nih.gov/pubmed/31540882
http://dx.doi.org/10.1016/j.esxm.2019.08.009
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author Krishnappa, Pramod
Fernandez-Pascual, Esau
Carballido, Joaquin
Moncada, Ignacio
Lledo-Garcia, Enrique
Martinez-Salamanca, Juan Ignacio
author_facet Krishnappa, Pramod
Fernandez-Pascual, Esau
Carballido, Joaquin
Moncada, Ignacio
Lledo-Garcia, Enrique
Martinez-Salamanca, Juan Ignacio
author_sort Krishnappa, Pramod
collection PubMed
description INTRODUCTION: Surgical intervention in Peyronie’s disease (PD) should ideally be delayed until the resolution of acute inflammatory phase. AIM: The objective of this review was to highlight the results of penile prosthesis to correct refractory erectile dysfunction (ED) in patients with PD, and the secondary procedures that may be required to correct the penile curvature. METHODS: A systematic search on PubMed online database using Preferred Reporting Items for Systematic Reviews and Meta-Analyses recommendations was done using the MeSH terms “Peyronie’s disease” and “erectile dysfunction.” MAIN OUTCOME MEASURE: Success and satisfaction rates of various procedures. RESULTS: The search yielded 324 language-specific (English and Spanish language) articles and 58 articles were retained for final review. The following variables were assessed in different studies: number of patients, types of secondary procedure to correct the curvature, satisfaction rates, and follow-up period. CONCLUSION: The aim of the surgery in PD should be to achieve a functionally straight penis (<20 degree curvature) with good erection. Patients with refractory ED in PD are candidates for penile prosthesis. Secondary procedures, like manual modeling, plication, plaque incision, or excision grafting, may be required depending on the degree of penile curvature and penile length. In quest for the best graft, TachoSil graft seems to have gained popularity in Europe. Krishnappa P, Fernandez-Pascual E, Carballido J, et al. Surgical Management of Peyronie’s Disease With Co-Existent Erectile Dysfunction. Sex Med 2019;7:361–370.
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spelling pubmed-69631252020-01-17 Surgical Management of Peyronie’s Disease With Co-Existent Erectile Dysfunction Krishnappa, Pramod Fernandez-Pascual, Esau Carballido, Joaquin Moncada, Ignacio Lledo-Garcia, Enrique Martinez-Salamanca, Juan Ignacio Sex Med Review INTRODUCTION: Surgical intervention in Peyronie’s disease (PD) should ideally be delayed until the resolution of acute inflammatory phase. AIM: The objective of this review was to highlight the results of penile prosthesis to correct refractory erectile dysfunction (ED) in patients with PD, and the secondary procedures that may be required to correct the penile curvature. METHODS: A systematic search on PubMed online database using Preferred Reporting Items for Systematic Reviews and Meta-Analyses recommendations was done using the MeSH terms “Peyronie’s disease” and “erectile dysfunction.” MAIN OUTCOME MEASURE: Success and satisfaction rates of various procedures. RESULTS: The search yielded 324 language-specific (English and Spanish language) articles and 58 articles were retained for final review. The following variables were assessed in different studies: number of patients, types of secondary procedure to correct the curvature, satisfaction rates, and follow-up period. CONCLUSION: The aim of the surgery in PD should be to achieve a functionally straight penis (<20 degree curvature) with good erection. Patients with refractory ED in PD are candidates for penile prosthesis. Secondary procedures, like manual modeling, plication, plaque incision, or excision grafting, may be required depending on the degree of penile curvature and penile length. In quest for the best graft, TachoSil graft seems to have gained popularity in Europe. Krishnappa P, Fernandez-Pascual E, Carballido J, et al. Surgical Management of Peyronie’s Disease With Co-Existent Erectile Dysfunction. Sex Med 2019;7:361–370. Elsevier 2019-09-18 /pmc/articles/PMC6963125/ /pubmed/31540882 http://dx.doi.org/10.1016/j.esxm.2019.08.009 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Review
Krishnappa, Pramod
Fernandez-Pascual, Esau
Carballido, Joaquin
Moncada, Ignacio
Lledo-Garcia, Enrique
Martinez-Salamanca, Juan Ignacio
Surgical Management of Peyronie’s Disease With Co-Existent Erectile Dysfunction
title Surgical Management of Peyronie’s Disease With Co-Existent Erectile Dysfunction
title_full Surgical Management of Peyronie’s Disease With Co-Existent Erectile Dysfunction
title_fullStr Surgical Management of Peyronie’s Disease With Co-Existent Erectile Dysfunction
title_full_unstemmed Surgical Management of Peyronie’s Disease With Co-Existent Erectile Dysfunction
title_short Surgical Management of Peyronie’s Disease With Co-Existent Erectile Dysfunction
title_sort surgical management of peyronie’s disease with co-existent erectile dysfunction
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6963125/
https://www.ncbi.nlm.nih.gov/pubmed/31540882
http://dx.doi.org/10.1016/j.esxm.2019.08.009
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