Abstract

Sexual desire isn’t usually assessed during consultation for IPP; We have attempted to measure the libido in patients treated with corporoplasty for penile deformity. 15patients,aged53-72years(m.62,3years),with IPP and severe penile deformity underwent surgical procedure. Before surgery photography of erected-penis were taken and sexual desire was measured with our questionnaire. We administered the questionnaire before procedure and12weeks after.All patients used before surgery PDE5i, so 12week after we administered themIIEF5. Recurvatum was moderate/marked(>60°) with slight/moderate, hourglass-deformity . We carried out 12albuginea plications with urethral and dorsal bundle dissection and with dissection of the deep layer of the plaque respecting its superficial layer. 3 patients had dissection of the plaque with goretex patch. The plasmatic total testosterone(TT) before surgery was350to610ng/dl(m.464,7+/-80), 12weeks after, TT was320to550ng/dl(m.457+/-65),without significant differences. The libido was between 7(normal) and15(mildly reduced)(m.11+/-2,5), 3months after, it was between 6(normal)to13(slight reduction)(m.8,6 +/-1,6), with significant improvement. The IIEF5 after12weeks of surgery, was between 17and25. The correction of recurvatum was good in all cases and the patients was satisfied.

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