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Scrotal septum detachment during penile plication to compensate for loss of penile length compared with conventional surgical technique

PURPOSE: To evaluate the efficacy and safety of penile elongation featuring simple scrotal septum detachment from the penile base to compensate for the loss of penile length during penile plication in patients with Peyronie's disease compared with conventional penile plication. MATERIALS AND ME...

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Autores principales: Ahn, Sun Tae, Lee, Dong Hyun, Jeong, Hyeong Guk, Kim, Jong Wook, Moon, Du Geon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Urological Association 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7052414/
https://www.ncbi.nlm.nih.gov/pubmed/32158974
http://dx.doi.org/10.4111/icu.2020.61.2.224
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author Ahn, Sun Tae
Lee, Dong Hyun
Jeong, Hyeong Guk
Kim, Jong Wook
Moon, Du Geon
author_facet Ahn, Sun Tae
Lee, Dong Hyun
Jeong, Hyeong Guk
Kim, Jong Wook
Moon, Du Geon
author_sort Ahn, Sun Tae
collection PubMed
description PURPOSE: To evaluate the efficacy and safety of penile elongation featuring simple scrotal septum detachment from the penile base to compensate for the loss of penile length during penile plication in patients with Peyronie's disease compared with conventional penile plication. MATERIALS AND METHODS: We conducted a retrospective analysis of 38 patients (24–75 years of age) with Peyronie's disease who underwent penile plication with or without our novel technique from January 2009 to May 2018. Penile elongation was achieved by release and detachment of the scrotal septum from the penile base to the level of the scrotal fat tissue. The objective outcome of change in stretched penile length (SPL) and the subjective outcome of patient perception of postoperative penile length were compared between groups. Any postoperative complications were recorded. RESULTS: Of the 38 patients, 16 underwent penile plication with scrotal septum detachment (elongation group) and 22 underwent penile plication only (conventional group). The postoperative mean SPL was increased in the elongation group and decreased in the conventional group (1.2±1.3 cm vs. −0.5±0.3 cm, p<0.001). Fourteen of 16 patients (87.5%) in the elongation group reported perceived penile lengthening after surgery, whereas 17/22 patients (77.3%) in the conventional group complained of penile shortening. We encountered no procedure-related complications such as hematoma, infection, or necrosis in either group. CONCLUSIONS: Simple detachment of the scrotal septum from the penile base afforded both objective and subjective penile elongation without any severe complications compared with conventional penile plication.
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spelling pubmed-70524142020-03-10 Scrotal septum detachment during penile plication to compensate for loss of penile length compared with conventional surgical technique Ahn, Sun Tae Lee, Dong Hyun Jeong, Hyeong Guk Kim, Jong Wook Moon, Du Geon Investig Clin Urol Innovations in Urology PURPOSE: To evaluate the efficacy and safety of penile elongation featuring simple scrotal septum detachment from the penile base to compensate for the loss of penile length during penile plication in patients with Peyronie's disease compared with conventional penile plication. MATERIALS AND METHODS: We conducted a retrospective analysis of 38 patients (24–75 years of age) with Peyronie's disease who underwent penile plication with or without our novel technique from January 2009 to May 2018. Penile elongation was achieved by release and detachment of the scrotal septum from the penile base to the level of the scrotal fat tissue. The objective outcome of change in stretched penile length (SPL) and the subjective outcome of patient perception of postoperative penile length were compared between groups. Any postoperative complications were recorded. RESULTS: Of the 38 patients, 16 underwent penile plication with scrotal septum detachment (elongation group) and 22 underwent penile plication only (conventional group). The postoperative mean SPL was increased in the elongation group and decreased in the conventional group (1.2±1.3 cm vs. −0.5±0.3 cm, p<0.001). Fourteen of 16 patients (87.5%) in the elongation group reported perceived penile lengthening after surgery, whereas 17/22 patients (77.3%) in the conventional group complained of penile shortening. We encountered no procedure-related complications such as hematoma, infection, or necrosis in either group. CONCLUSIONS: Simple detachment of the scrotal septum from the penile base afforded both objective and subjective penile elongation without any severe complications compared with conventional penile plication. The Korean Urological Association 2020-03 2020-02-18 /pmc/articles/PMC7052414/ /pubmed/32158974 http://dx.doi.org/10.4111/icu.2020.61.2.224 Text en © The Korean Urological Association, 2020 http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Innovations in Urology
Ahn, Sun Tae
Lee, Dong Hyun
Jeong, Hyeong Guk
Kim, Jong Wook
Moon, Du Geon
Scrotal septum detachment during penile plication to compensate for loss of penile length compared with conventional surgical technique
title Scrotal septum detachment during penile plication to compensate for loss of penile length compared with conventional surgical technique
title_full Scrotal septum detachment during penile plication to compensate for loss of penile length compared with conventional surgical technique
title_fullStr Scrotal septum detachment during penile plication to compensate for loss of penile length compared with conventional surgical technique
title_full_unstemmed Scrotal septum detachment during penile plication to compensate for loss of penile length compared with conventional surgical technique
title_short Scrotal septum detachment during penile plication to compensate for loss of penile length compared with conventional surgical technique
title_sort scrotal septum detachment during penile plication to compensate for loss of penile length compared with conventional surgical technique
topic Innovations in Urology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7052414/
https://www.ncbi.nlm.nih.gov/pubmed/32158974
http://dx.doi.org/10.4111/icu.2020.61.2.224
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