We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
(097) 3 Year Follow Up After Modified Grid Incision and Sealing with Collagen Fleece for Treatment of Peyronie's Disease.
- Authors
Moon, D G; Ahn, S T; Lee, W K; Cho, S B
- Abstract
Introduction: Previously, we introduced a less invasive modified technique by multiple grid incisions of Peyronie's plaque. Objective: To assess the efficacy of technique in 32 patients with 3 year follow-up. Methods: From 2018, 32 patients with stable Peyronie's disease were included with 3 major steps of surgery; 1) dissection of neurovascular bundle/urethra according to plaque location, 2) multiple deep grid incisions of plaque for complete correction of curvature/deformity, 3) sealing with TachoSil®. Prospectively, the stretched penile length (SPL), totally straightness, penile sono, erectile function at preoperative, and 6, 12, 24, 36 months postoperatively under approval of Institutional Review Board. Results: Mean age was 59.2 years (46–72). Mean curvature was 53.5 (40–80) degree, 8 with hinge and 7 with hourglass deformity. IPP was inserted in 4 and 1 at postoperative 30 months for poor erectile function. Mean follow-up was 35.4 months (12–57). Daily massage softened the hard thickening of penis gradually from 3 months until 3 year. On follow-up sonography, subcutaneous thickening gradually decreased to near normal at 1–3 year and tunical breakage by grid incision reunited at postoperative 10–12 months. 2 patients immediately recurred dorsal curvature but most patients achieved totally straightness. Most patients gained preoperative length after 1.6 year. 96% of patients satisfied in GAQ at 2 year. Minor skin problem was occurred in two of IPP. Subcutaneous bulging hematoma was occurred in 3 patients but subsided in two within 3 months. One patients need revision surgery. In postoperative erectile function of 23 patients without IPP, spontaneous hard erection was recovered in 5 and the rest are satisfied with PED5 inhibitors. Conclusions: Our prospective progress reports with technical modification of various plaque incisions shows that one can achieve a sufficient surgical effect without making defect of tunica albuginea but need long term follow up for 3 years at best. Disclosure: No.
- Subjects
PENILE induration; PENILE prostheses; WOOL; TECHNICAL reports; INSTITUTIONAL review boards; COLLAGEN
- Publication
Journal of Sexual Medicine, 2024, Vol 21, p1
- ISSN
1743-6095
- Publication type
Article
- DOI
10.1093/jsxmed/qdae002.088