MP36-16 A MULTICENTER EVALUATION OF PENILE CURVATURE CORRECTION IN MEN WITH PEYRONIE’S DISEASE UNDERGOING INFLATABLE PENILE PROSTHESIS PLACEMENT

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP36-16 A MULTICENTER EVALUATION OF PENILE CURVATURE CORRECTION IN MEN WITH PEYRONIE’S DISEASE UNDERGOING INFLATABLE PENILE PROSTHESIS PLACEMENT Muhammed A. Moukhtar Hammad, David W. Barham, Tuan Nguyen, Lawrence Jenkins, Daniel Swerdloff, Kelli Gross, Georgios Hatzichristodoulou, James Jones, James Hotaling, Ian Pearce, Hossein Sadeghi-Nejad, Chad A. Service, Jay Simhan, Paul E. Perito, Faysal Yafi, and Martin S. Gross Muhammed A. Moukhtar HammadMuhammed A. Moukhtar Hammad More articles by this author , David W. BarhamDavid W. Barham More articles by this author , Tuan NguyenTuan Nguyen More articles by this author , Lawrence JenkinsLawrence Jenkins More articles by this author , Daniel SwerdloffDaniel Swerdloff More articles by this author , Kelli GrossKelli Gross More articles by this author , Georgios HatzichristodoulouGeorgios Hatzichristodoulou More articles by this author , James JonesJames Jones More articles by this author , James HotalingJames Hotaling More articles by this author , Ian PearceIan Pearce More articles by this author , Hossein Sadeghi-NejadHossein Sadeghi-Nejad More articles by this author , Chad A. ServiceChad A. Service More articles by this author , Jay SimhanJay Simhan More articles by this author , Paul E. PeritoPaul E. Perito More articles by this author , Faysal YafiFaysal Yafi More articles by this author , and Martin S. GrossMartin S. Gross More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003270.16AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Inflatable penile prosthesis (IPP) insertion is recommended for the treatment of patients with Peyronie’s Disease (PD) and significant erectile dysfunction (ED). Adjunctive procedures such as modeling, plication, or incision/excision and grafting can be used when there is residual curvature after IPP placement. We evaluated the management of curvature correction in patients with PD undergoing IPP among high-volume prosthetic urologists. METHODS: We performed a retrospective study of 499 patients diagnosed with PD undergoing IPP by 10 high volume penile prosthetic surgeons. Demographic, intraoperative, and postoperative data were collected and analyzed. RESULTS: 499 patients were included with mean age of 61.5 years (SD=10) and a median follow-up of 13.1 months (0-58.5 months). The mean preoperative curvature was 39.4° (SD=17.8) with dorsal curvature being the most common. Overall, 88 (17.6%) patients had IPP only with no adjunctive curvature correction procedure, 24 (4.8%) underwent plication, 10 (2.0%) underwent grafting, and 373 (74.7%) underwent modeling. Preoperatively, the mean starting curvature was 38.2° for the IPP-only group, 48.1° for the plication group, 60.6° for the grafting group, and 38.7° for the modeling group, p<0.001. Patients undergoing grafting had significantly fewer comorbidities: 1 (10%) had diabetes, none were smokers or had cardiovascular disease, p<0.001. After penile curvature correction, the mean curvature change was 30.0° for IPP-only group, 40.0° for plication group, 55.0° for grafting group, and 35.0° for the modeling group, p<0.001 (Figure 1). Intraoperative complications occurred in 5 (1%) patients. Post-operatively, there were 43 (14.30%) non-infectious and 11 (2.20%) infectious complications. No significant difference in complications between groups. CONCLUSIONS: Although incision/excision and grafting seem to provide the greatest penile curvature correction for PD patients undergoing IPP placement, this adjunctive correction procedure is less commonly performed among high volume prosthetic urologists. Our results suggest grafting is reserved for patients with greater preoperative curvature and fewer preoperative comorbidities. 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 Muhammed A. Moukhtar Hammad More articles by this author David W. Barham More articles by this author Tuan Nguyen More articles by this author Lawrence Jenkins More articles by this author Daniel Swerdloff More articles by this author Kelli Gross More articles by this author Georgios Hatzichristodoulou More articles by this author James Jones More articles by this author James Hotaling More articles by this author Ian Pearce More articles by this author Hossein Sadeghi-Nejad More articles by this author Chad A. Service More articles by this author Jay Simhan More articles by this author Paul E. Perito More articles by this author Faysal Yafi More articles by this author Martin S. Gross More articles by this author Expand All Advertisement PDF downloadLoading ...