1079 PEYRONIE'S DISEASE: PRESENTING EXPECTED PERCENTAGE OF DECREASE IN PENILE LENGTH TO PATIENTS AS A TOOL TO CHOOSE INCISION AND GRAFTING VERSUS PLICATION

Abstract

You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Peyronie's Disease/Surgical Therapy I1 Apr 20101079 PEYRONIE'S DISEASE: PRESENTING EXPECTED PERCENTAGE OF DECREASE IN PENILE LENGTH TO PATIENTS AS A TOOL TO CHOOSE INCISION AND GRAFTING VERSUS PLICATION Christi Hughart, and Chirpriya Dhabuwala Christi HughartChristi Hughart Novi, MI More articles by this author , and Chirpriya DhabuwalaChirpriya Dhabuwala Detroit, MI More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.2238AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES We propose that patients choosing between plaque incision/grafting and plication should be presented with the expected resultant penile length as a tool in their decision process. METHODS This was a retrospective study of the preoperative photos of 27 patients referred to Detroit Medical Center with late phase Peyronie's disease from 2005 to 2009. The long and short sides of the penis were measured as well as the angle of curvature. Based on the principle of plication, the expected length of the penis after plication surgery was estimated to be equal to the short length of the penis. The expected length of the penis after incision and grafting was estimated to be equal to the long side of the penis. The percentage of penile shortening expected post plication was calculated. RESULTS In the 27-54 degrees of curvature group, 55-81 degrees of curvature group, and 82-108 degrees of curvature group, the average expected shortening that would result from plication would be 34%, 45%, and 54% respectively. CONCLUSIONS If plication were performed, significant foreshortening of the penis would occur compared to plaque incision with grafting. Based on these calculations, we believe every patient seeking surgery should have penile photographs with measurement and be informed of the expected length of the penis after each surgery. Peyronie's disease is a devastating condition for affected men and their partners. Unfortunately, with one of the surgical therapies available, some patients can experience postoperative disappointment if they were not properly informed of the expected shortening seen after plication. If patients have preoperative photos and the measurements shown in this study, they can be properly informed of all of the risks involved and thus make a more informed decision. © 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e420 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Christi Hughart Novi, MI More articles by this author Chirpriya Dhabuwala Detroit, MI More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ...