PS-07-001 A new original surgical technique for Peyronie disease: albugineal graft-free lengthening z-plasty. Results with mean follow up over 12 months

Abstract

We present an original lengthening albugineal Z-plasty for the treatment of penile curvature due to Peyronie Disease (PD) with the aim to reduce the post-operative Erectile Dysfunction (ED) due to Veno-Occlusive Dysfunction (VOD) as major functional complication of incision and grafting surgical procedures performed for PD. Surgical technique: circumcision and deglooving of the penis; dorsal neurovascular bundle isolation and setup plaque size and direction by saline hydraulic erection; Z-shape plaque incision and translocation of albugineal flaps using 4/0 Vycril suture; saline hydraulic erection to confirm absence of residual curvature. From May 2013 to September 2015, 15 patients affected by PD have been enrolled in a surgical experimental pilot study with local Aethical Comitee certification. Inclusion criteria comprise: age up to 18 years (yr), penile curvature due to PD in stable phase (=>3 months), no ED (IIEF-5>19; EHS>3), specific informed file subscription. History (IIEF-5 and PDQ Scale Q2 to Q6), physical examination (EHS), dynamic penile ecocolorDoppler ultrasound examination (longitudinal plaque size, curvature degree) have been reported for each patients as soon as operating time procedure, intraoperative complications, post-surgical complication. Each patients has been re-evaluated after surgery at 1, 3, 6 and 12 mo.