1815 PENILE CURVATURE IS A COMMON FINDING AT THE PENILE PROSTHESIS IMPLANTATION FOR PATIENTS WITH ERECTILE DYSFUNCTION AFTER RADICAL PROSTATECTOMY

Abstract

You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Peyronie's Disease/Surgical Therapy1 Apr 20111815 PENILE CURVATURE IS A COMMON FINDING AT THE PENILE PROSTHESIS IMPLANTATION FOR PATIENTS WITH ERECTILE DYSFUNCTION AFTER RADICAL PROSTATECTOMY Haocheng Lin, Frances Alba, Claudio Romero, Andrea Chan, Rohit Dhir, and Run Wang Haocheng LinHaocheng Lin Houston, TX More articles by this author , Frances AlbaFrances Alba Houston, TX More articles by this author , Claudio RomeroClaudio Romero Houston, TX More articles by this author , Andrea ChanAndrea Chan Houston, TX More articles by this author , Rohit DhirRohit Dhir Houston, TX More articles by this author , and Run WangRun Wang Houston, TX More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.2187AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Peyronie's disease is a common male sexual disorder with increased incidence in patients after prostate cancer treatment. Erectile dysfunction (ED) associated with Peyronie's disease can affect the patient's satisfaction after inflatable penile prosthesis (IPP) implantation. This study was designed to look at the incidence of penile deformity at IPP implantation for treatment of ED in patients with histories of prostate cancer treatments. METHODS The IPP data base in the last 35 months at MD Anderson Cancer Center was reviewed. ED and associated history of cancer treatment were recorded. Peyronie's disease was diagnosed by history, physical examination and penile Doppler ultrasound before IPP surgery. All patients had penile Doppler ultrasound study before receiving IPP implantation. RESULTS From January, 2007 to November, 2010 a total of 261 IPP surgeries were included in this study. Of these 261 patients, 75% had prostate cancer treatment, 9.6% had radical cystectomy and 15.4% were diagnosed with ED due to other etiology. Before IPP implantation, 12.8% patients in prostate cancer treatment group were diagnosed with Peyronie's disease. However, during the IPP implantation surgery, 38.5% of patients without pre-operative diagnosis of Peyronie's disease were found to have penile curvature that required penile plasty to correct the curvature. The severity of the curvature was from 10 to 45 degrees. The most common deviation was ventral curvature (63.2%) followed by dorsal curvature (31.6%) with only 10.5% pure lateral curvature. Among them, there are 31.6% patients with combined curvature (ventral-lateral or dorsal-lateral). CONCLUSIONS Penile curvature is a very common finding at the IPP implantation surgery for erectile dysfunction after prostate cancer treatment. All patients (even without pre-operative diagnosis of Peyronie's disease) should be well informed regarding the possible curvature after the surgery and surgeons should prepare to perform penile plasty for every patient receiving IPP. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e728-e729 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Haocheng Lin Houston, TX More articles by this author Frances Alba Houston, TX More articles by this author Claudio Romero Houston, TX More articles by this author Andrea Chan Houston, TX More articles by this author Rohit Dhir Houston, TX More articles by this author Run Wang Houston, TX More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...