MP36-15 PERCEPTION AND REALITY OF POSTOPERATIVE PENILE LENGTH IN MEN UNDERGOING GRAFTING PROCEDURE FOR PEYRONIE’S DISEASE

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP36-15 PERCEPTION AND REALITY OF POSTOPERATIVE PENILE LENGTH IN MEN UNDERGOING GRAFTING PROCEDURE FOR PEYRONIE’S DISEASE William Langbo, Morgan Sturgis, Jose Quesada Olarte, and Laurence Levine William LangboWilliam Langbo More articles by this author , Morgan SturgisMorgan Sturgis More articles by this author , Jose Quesada OlarteJose Quesada Olarte More articles by this author , and Laurence LevineLaurence Levine More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003270.15AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Peyronie’s disease presents as penile deformity, oftentimes with curvature and shortening, secondary to scarring of the tunica albuginea. Surgical reconstruction using partial plaque excision and grafting (PEG) is recommended for men with excellent erectile function and severe curvature refractory to conservative management. PEG can correct penile curvature while preserving length, however subjective patient satisfaction rates are highly variable. Our study sought to explore perceived penile shortening in the pre- and post-operative period in one of the largest sample sizes to date. METHODS: A retrospective chart review and phone survey was conducted to analyze patients ≥18 years old who had >3 months of in-office follow up after PEG surgery at a single, tertiary-care institution from February 2007 - November 2022. Erect length was approximated by in-office measurement of flaccid stretched penile length (SPL). Data was collected to assess subjective and objective penile length, patient satisfaction, and other variables. RESULTS: A total of 137 patients met inclusion criteria. 76% of all patients reported perceived preoperative shortening, while fewer (46%) reported perceived postoperative shortening. Perceived postoperative shortening was significantly associated with perceived preoperative shortening (p=0.05). (Table 1) There was no significant association between perceived postoperative shortening and measured change in SPL (p=0.16). In fact, on average, patients who underwent PEG gained 0.51 cm in SPL. Of patients who reported perceived postoperative shortening, only 25% objectively lost SPL; this group had an average increase of 0.33 cm in SPL. Subjective post-operative shortening was associated with both reduced patient satisfaction (p=0.006) and shorter time to follow up (p=0.001). CONCLUSIONS: Overall, patients were less likely to report perceived shortening after PEG. Perceived preoperative shortening was predictive of perceived postoperative shortening, in spite of measurements not indicating length loss, suggesting that pre-existing factors, such as erectile function or psychogenic components, might play a role. This is further supported by no difference in measured change in SPL between groups, with an overall average gain in SPL after PEG. The association between reported postoperative shortening and shorter follow up times may be due to an immediate adjustment period to the appearance of the penis after PEG, which resolves over time. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e485 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information William Langbo More articles by this author Morgan Sturgis More articles by this author Jose Quesada Olarte More articles by this author Laurence Levine More articles by this author Expand All Advertisement PDF downloadLoading ...