Mp36-13 peyronie's disease: preputial graft in penile curvature surgery correction, a single center experience with 68 patients

You have accessJournal of UrologyCME1 Apr 2023MP36-13 PEYRONIE'S DISEASE: PREPUTIAL GRAFT IN PENILE CURVATURE SURGERY CORRECTION, A SINGLE CENTER EXPERIENCE WITH 68 PATIENTS Mattia Benedetti, Tommaso Arcelli, Nicola Nannola, Stefano Di Bari, Daniel Martens, Filippo Borgatti, Federcio Cantoni, Michele Potenzoni, Roberto Aarnaudi, Carmelo Destro Pastizzaro, Nicoletta Uliano, Chiara Grassani, Maria Chiara Sighinolfi, Stefani Ferretti, Stefano Puliatti, Bernardo Rocco, Andrea Prati, and Salvatore Micali Mattia BenedettiMattia Benedetti More articles by this author , Tommaso ArcelliTommaso Arcelli More articles by this author , Nicola NannolaNicola Nannola More articles by this author , Stefano Di BariStefano Di Bari More articles by this author , Daniel MartensDaniel Martens More articles by this author , Filippo BorgattiFilippo Borgatti More articles by this author , Federcio CantoniFedercio Cantoni More articles by this author , Michele PotenzoniMichele Potenzoni More articles by this author , Roberto AarnaudiRoberto Aarnaudi More articles by this author , Carmelo Destro PastizzaroCarmelo Destro Pastizzaro More articles by this author , Nicoletta UlianoNicoletta Uliano More articles by this author , Chiara GrassaniChiara Grassani More articles by this author , Maria Chiara SighinolfiMaria Chiara Sighinolfi More articles by this author , Stefani FerrettiStefani Ferretti More articles by this author , Stefano PuliattiStefano Puliatti More articles by this author , Bernardo RoccoBernardo Rocco More articles by this author , Andrea PratiAndrea Prati More articles by this author , and Salvatore MicaliSalvatore Micali More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003270.13AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Surgical therapy for Peyronie's disease (PD) is reserved for patients with severe penile deformity that fails to improve with medical treatment and impedes sexual intercourse. Surgical treatment should be delayed until the acute inflammatory phase has resolved and should be considered in patients with deformity that impairs sexual function. Plaque incision or excision with grafting has been suggested as an option in patients with a penile curvature greater than 60°, a shortened penis, and/or an hourglass or complex deformity. Our purpose is to assess efficacy, complications and degree of patient satisfaction of preputial skin graft for treatment of penile curvatures by grafting corporoplasty. 68 patients (15-76 y) were treated between 2012 and 2021, with a degree of curvature between 30° and 80° at Fidenza Hospital. The patients analyzed had more than 17 valutaden with IEFF-5 score before the surgical procedure. METHODS: The surgery was performed by subcoronal incision, next degloving and preputial patch preparation. Next detachment of the nervous vascular bundle and incision of the double inverted T plate and application of the preputial patch. Compressive medication and catheterization. All patients were hospitalized for 4 days with removal of compressive medication on the third day and removal of the bladder catheter. Post-operative medication about 7 days after discharge with no evidence of major complications (about 10 patients had penile hematoma resolved with conservative therapy). About 6 months after surgery, patients were asked about the degree of satisfaction valueted IEFF-5 and the possible appearance of postoperative penile curvatures. RESULTS: Of the 68 patients operated 44 (64.7% of patients) had an IEFF-5 greater than 17 without a recurrence of curvature, 19 patients had an IEFF-5 less than 17 (27.9%) without a recurrence of curvature, 5 patients (7.4%) had an IEFF-5 greater than 17 but had a penile curvature recurrence of less than 30%. Only 10 patients post-operative complication. CONCLUSIONS: The aim of the surgical treatment in Peyronie's disease is to correct the deformity while preserving or improving erectile capacity of the penis. Appropriate treatment options should be individualized according to the patients' expectations and erectile capacity. Preputial graft has similar outcome compared to other Autologous grafts like Vein, Tunica vaginalis, Tunica albuginea, Buccal mucosa, Lingual mucosa, Fascia lata. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e484 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Mattia Benedetti More articles by this author Tommaso Arcelli More articles by this author Nicola Nannola More articles by this author Stefano Di Bari More articles by this author Daniel Martens More articles by this author Filippo Borgatti More articles by this author Federcio Cantoni More articles by this author Michele Potenzoni More articles by this author Roberto Aarnaudi More articles by this author Carmelo Destro Pastizzaro More articles by this author Nicoletta Uliano More articles by this author Chiara Grassani More articles by this author Maria Chiara Sighinolfi More articles by this author Stefani Ferretti More articles by this author Stefano Puliatti More articles by this author Bernardo Rocco More articles by this author Andrea Prati More articles by this author Salvatore Micali More articles by this author Expand All Advertisement PDF downloadLoading ...