Outcomes of Surgical Management of Men With Peyronie's Disease With Hourglass Deformity.

Yafi, Faysal A; Hatzichristodoulou, Georgios; Wang, Julie; Anaissie, James; Sikka, Suresh C; Hellstrom, Wayne J G

doi:10.1016/j.urology.2016.01.032

2016

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Titel:: Outcomes of Surgical Management of Men With Peyronie's Disease With Hourglass Deformity.
Dokumenttyp:: Journal Article; Multicenter Study; Article
Autor(en):: Yafi, Faysal A; Hatzichristodoulou, Georgios; Wang, Julie; Anaissie, James; Sikka, Suresh C; Hellstrom, Wayne J G
Abstract:: To investigate the outcomes of two surgical interventions for Peyronie's disease (PD) with hourglass deformity: partial excision and grafting (PEG) or inflatable penile prosthesis (IPP) implantation.Retrospective data were collected from two centers: Technical University of Munich (PEG) and Tulane University Medical Center (IPP). Collected variables included patient demographics, sexual function, penile vascular measurements, and treatment outcomes.A total of 50 PD patients with hourglass deformity (26 PEG [group 1] and 24 IPP [group 2]) were included in this study. Patients in group 1 had higher mean preoperative Sexual Health Inventory for Men scores (22.2 vs 10.3, P < 0001), required less erectile dysfunction treatment (35% vs 79%, P = .005), and had more nonvascular etiology (77% vs 21%, P < .0001). There were no intraoperative complications, 2 patients in group 1 had postoperative glans hypoesthesia, and 1 patient in group 2 required surgical revision. All patients in both groups had significant >=20% improvements in penile curvature with mean changes of 68.1 degrees (12.7) in group 1 and 49.6 degrees (13.5) in group 2, P < .0001. Resolution of hourglass deformity was achieved in 85% of patients in group 1 and 100% of patients in group 2, P = .045. The mean postoperative change in Sexual Health Inventory for Men score was -0.3 (1.3) in group 1 and 16.7 (4.7) in group 2, P < .0001.Both options provide excellent outcomes for well-selected patients with PD and an hourglass deformity. PEG can be offered to patients with good erectile function, whereas the IPP remains the preferred option for patients with poor erections.
Zeitschriftentitel:: Urology
Jahr:: 2016
Band / Volume:: 91
Seitenangaben Beitrag:: 119-23
Sprache:: eng
Volltext / DOI:: doi:10.1016/j.urology.2016.01.032
PubMed:: http://view.ncbi.nlm.nih.gov/pubmed/26876465
Print-ISSN:: 0090-4295
TUM Einrichtung:: Urologische Klinik und Poliklinik
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mediaTUM Gesamtbestand Einrichtungen Schools TUM School of Medicine and Health Departments Clinical Medicine Klinik und Poliklinik für Urologie (Prof. Gschwend)2016