MP67-11 PATIENT REPORTED OUTCOMES ON SEXUAL FUNCTION AFTER SURGICAL TREATMENT OF PEYRONIES DISEASE

Abstract

You have accessJournal of UrologySexual Function/Dysfunction: Peyronie's Disease I1 Apr 2018MP67-11 PATIENT REPORTED OUTCOMES ON SEXUAL FUNCTION AFTER SURGICAL TREATMENT OF PEYRONIES DISEASE Daan Mohede, Alida Weidenaar, Mels Van Driel, Harry van de Wiel, and Igle De Jong Daan MohedeDaan Mohede More articles by this author , Alida WeidenaarAlida Weidenaar More articles by this author , Mels Van DrielMels Van Driel More articles by this author , Harry van de WielHarry van de Wiel More articles by this author , and Igle De JongIgle De Jong More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.2195AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Long-term outcomes of surgical interventions in patients with Peyronies disease (PD) on the course of sexual function is limited. We studied patient reported sexual function after 5 years follow up in order to improve preoperative counseling. METHODS The International Index of Erectile Function (IIEF)-scores of new patients with PD were collected at first presentation between 2007-2016. In autumn 2016, data was complemented by a questionnaire including the IIEF. A total of 170 patients (56.1% ) responded with a mean follow up of 5.3 ± 3.7 years. The development of sexual function (IIEF), satisfaction with the treatment and specific treatment outcomes (e.g. penile sensibility loss and shortening) were determined in conservatively and surgically treated patients. RESULTS Of 170 patients, 93 were treated conservatively and 77 underwent surgical treatment: 56 Nesbit correction, 13 plaque incision and grafting (PIG) and 8 penile prosthesis. Within the surgically treated group patients treated with PIG were more dissatisfied (61.5%) compared with Nesbit (30.9%) and penile implant (50.0%). Penile rigidity and sensibility loss were higher in patients treated with PIG. Patients who received an implant were often troubled by hindered intromission. IIEF-scores on the domain intercourse satisfaction at presentation were lower in surgically treated patients than in conservatively treated. Compared with base line orgasmic function and sexual desire decreased in the entire cohort at follow-up. The conservatively treated group showed a decline in erectile function, orgasmic function, sexual desire and intercourse satisfaction. On the contrary, overall satisfaction in the surgically treated group had increased. At follow-up, no differences were seen in sexual function between surgically and conservatively treated patients on all IIEF domains. CONCLUSIONS After surgical treatment of PD, sexual function of men improved to the level of conservatively treated patients. However, results vary between the different interventions in a way that patients after PIG reported high dissatisfaction rates in comparison with Nesbit correction or a penile implant. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e911 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Daan Mohede More articles by this author Alida Weidenaar More articles by this author Mels Van Driel More articles by this author Harry van de Wiel More articles by this author Igle De Jong More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...