MP33-05 MULTI-CENTER EXPERIENCE UTILIZING COLLAGEN FLEECE FOR PLAQUE INCISION WITH GRAFTING AT TIME OF INFLATABLE PENILE PROSTHESIS PLACEMENT IN PEYRONIE’S DISEASE PATIENTS

Abstract

You have accessJournal of UrologySexual Function/Dysfunction: Peyronie's Disease (MP33)1 Apr 2020MP33-05 MULTI-CENTER EXPERIENCE UTILIZING COLLAGEN FLEECE FOR PLAQUE INCISION WITH GRAFTING AT TIME OF INFLATABLE PENILE PROSTHESIS PLACEMENT IN PEYRONIE’S DISEASE PATIENTS David Yang*, Georgios Hatzichristodoulou, Kevin Hebert, Joshua Ring, Matthew Ziegelmann, and Tobias Kohler David Yang*David Yang* More articles by this author , Georgios HatzichristodoulouGeorgios Hatzichristodoulou More articles by this author , Kevin HebertKevin Hebert More articles by this author , Joshua RingJoshua Ring More articles by this author , Matthew ZiegelmannMatthew Ziegelmann More articles by this author , and Tobias KohlerTobias Kohler More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000877.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Plaque incision and grafting (PIG) is often necessary to correct residual curvature during IPP placement in patients with severe Peyronie’s Disease (PD). We present our multi-center experience using sutureless collagen fleece grafting with IPP placement in patients with severe PD. METHODS: We retrospectively reviewed IPP patients from 3 sites who underwent PIG with Tachosil® (Baxter, IL, USA) collagen fleece. Coloplast (Humlebaek, Denmark) IPP devices were used. Initially, a subcoronal incision is made. After IPP placement, the point of maximum curvature is marked. The neurovascular bundles are lifted, and an incision with cautery is made through the scar. The exposed device is covered with the collagen fleece, and the neurovascular bundles are re-approximated. The device is left 70% inflated for 3 weeks. The patient avoids sexual activity for 6 weeks. Factors associated with residual curvature, revision and patient satisfaction was performed using chi-squared analysis. RESULTS: Fifty one patients met inclusion criteria. The average compound curvature was 69.6 degrees. 80% of patients had a dorsal component to their curvature. Only two patients had a ventral curvature requiring urethral mobilization. Surgical outcomes are reported in Table 1. Briefly, all patients reported a functional erection at last follow up. Six patients noted residual curvature of less than 15 degrees, and only pre-operative curvature >60 degrees was associated with residual curvature. Post-operative complications requiring revision were minimal. CONCLUSIONS: PIG utilizing collagen fleece is a safe and effective means of correcting residual curvature after IPP placement. In our multi-centered study, patients experienced substantial curve correction with minimal complications. In the few patients that had persistent mild curvature, severe preoperative curvature (>60 degrees) was found to be the only risk factor. Source of Funding: none © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e496-e496 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information David Yang* More articles by this author Georgios Hatzichristodoulou More articles by this author Kevin Hebert More articles by this author Joshua Ring More articles by this author Matthew Ziegelmann More articles by this author Tobias Kohler More articles by this author Expand All Advertisement PDF downloadLoading ...