Abstract
BackgroundTo investigate the feasibility and safety of surgical treatment for Peyronie’s disease (PD) by excising and repairing plaque using autologous tunica vaginalis of testis.MethodsFrom March 2007 to December 2012, total 19 patients with PD underwent surgical treatment at our center. All patients had significant phallocampsis during erection. All patients complained of decreased sexual function. During the operation, the fibrotic plaque was excised and neurovascular bundle (NVB) was spared. A size-matching autologous tunica vaginalis of testis was harvested as the graft and patched to the defect. All patients received follow up every 3 months in the first year and 6 months in the following years. Data on sexual function before and after the operation was collected and compared.ResultsAll operations were completed successfully without serious complications. The mean operative time was 74 min. The mean size of excised plaque was 3.0 cm2. Postoperative pathological studies revealed the fibroplastic hyperplasia of excised tissue. All patients had satisfactory correction of penile appearance. The erectile penile length between pre- and post-operation didn’t show significant difference. Postoperative intercourse satisfaction and overall satisfaction measured by IIEF-5 were significant improved.ConclusionsOur surgical treatment is feasible and safe for patients with PD. It can effectively improve the penile cosmetic appearance and patients’ intercourse/overall satisfaction on sexual life.
Highlights
To investigate the feasibility and safety of surgical treatment for Peyronie’s disease (PD) by excising and repairing plaque using autologous tunica vaginalis of testis
Surgical treatment is the gold standard for PD due to the most reliable and sustained correction of phallocampsis
We reported our experience of surgical repair on 19 patients with PD using autologous tunica vaginalis of testis
Summary
To investigate the feasibility and safety of surgical treatment for Peyronie’s disease (PD) by excising and repairing plaque using autologous tunica vaginalis of testis. Peyronie’s disease (PD) is a progressive fibrotic tissue disorder of the penile tunica albuginea. It is generally recognized that PD contains two inflammatory phase: acute and chronic phase. Medical therapy is used for the acute phase or those unfit for surgery [2]. Surgical treatment is the gold standard for PD due to the most reliable and sustained correction of phallocampsis. There are many surgical options for PD such as Nesbit procedure, Yachia procedure, Plication procedures, and grafting procedures. Grafting procedures are the focus of recent studies for effectively preserving penile length. Three types of graft have been reported: autologous graft, xenograft and
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