P-02-31 Erectile Function after Corporoplasty for Peyronie's Disease

Abstract

Surgical interventions for Peyronie's disease (PD) may be divided into three primary groups: plication corporoplasty, substitution corporoplasty and implantation of penile prosthesis with additional surgical steps to take care of deformation, such as manual modeling. All these techniques may influence erectile function. We performed a retrospective analysis of medical records of 374 patients with PD. The final analysis was performed on data of 342 patients who were available for follow-up visit. Erectile function outcomes were evaluated by interview, questionnaires and penile doppler ultrasound when indicated. A major portion of patients in our population (n = 285; 83.3%) were sexually active; seven patients (2%) had sexual intercourse only 1-2 times per month; finally, 50 patients (14.6%) reported on not being sexually active at all. Among 285 sexually active patients, 139 (48.8%) were completely satisfied with their erection, and 62 (21.7%) have pointed out at not being satisfied with their erectile function. Among all patients, 197 were completely satisfied with length and appearance of their penis (57.6%), 88 were relatively satisfied with those outcomes (25.7%) and 57 patients were unsatisfied (16.7%). Prevalence of risk factors for erectile dysfunction (ED) in our sample has greatly increased during follow-up. IIEF questionnaire has shown that 105 patients (36.8%) had no ED (> 26 points); 74 patients (26%) had mild ED; 67 patients (23.5%) had mild-to-moderate ED; 21 patients (7.4%) had moderate ED; and 18 patients (6.3%) had severe ED.