scholarly journals The direction and severity of penile curvature does not have an impact on concomitant vasculogenic erectile dysfunction in patients with Peyronie’s disease

2014 ◽  
Vol 27 (1) ◽  
pp. 6-8 ◽  
Author(s):  
E C Serefoglu ◽  
L Trost ◽  
S C Sikka ◽  
W J G Hellstrom
Keyword(s):  
Erectile Dysfunction ◽  
Peyronie’S Disease ◽  
Penile Curvature ◽  
Peyronie's Disease ◽  
Vasculogenic Erectile Dysfunction

Erectile dysfunction in patients with peyronie's disease and congenital penile curvature

1991 ◽  
Vol 6 (1) ◽  
pp. 57-63 ◽  
Author(s):  
Mels F. van Driel ◽  
Jaap J. Mooibroek ◽  
Harry B. M. van de Wiel ◽  
Han J. A. Mensink
Keyword(s):  
Erectile Dysfunction ◽  
Peyronie’S Disease ◽  
Penile Curvature ◽  
Congenital Penile Curvature ◽  
Peyronie's Disease

scholarly journals Use of Li-ESWT, Tadalafil, and a Vacuum Device to Preserve Erectile Function in Subjects Affected by Peyronie’s Disease and Undergoing Grafting Surgery

Uro ◽  
2021 ◽  
Vol 1 (3) ◽  
pp. 187-194
Author(s):  
Francesco Trama ◽  
Antonio Ruffo ◽  
Ester Illiano ◽  
Giuseppe Romeo ◽  
Filippo Riccardo ◽  
...  
Keyword(s):  
Erectile Dysfunction ◽  
Erectile Function ◽  
Tunica Albuginea ◽  
Penile Prosthesis ◽  
Peyronie’S Disease ◽  
Penile Curvature ◽  
Rehabilitation Protocol ◽  
Extracorporeal Shock Wave ◽  
Vacuum Device ◽  
Peyronie's Disease

Background: Peyronie’s disease (PD) is a little-known disease characterized by pain during erections, the presence of penile curvature, and consequent psychological disorders. In addition, concomitant erectile dysfunction may be present. The treatment of PD is adapted to the patient, especially when the penile curvature is >60°; with stabilized pathology, it is preferable to perform penile straightening approaches, such as penile plication and plaque incision, or partial excision and grafting. The most frequent side effect of straightening approaches is the onset of erectile dysfunction due to the formation of venous leakage appearing after the excision of calcific plaque. Materials and methods: All enrolled patients had PD, a curvature >60°, had an IIEF subdomain erectile function score >16, and refused penile prosthesis implantation concurrent with tunica albuginea grafting surgery. Subsequently, 4 weeks after surgery, all patients underwent a rehabilitation protocol that consisted of low-intensity extracorporeal shock wave therapy (Li-ESWT), the administration of 5 mg/daily of tadalafil, and the use of a vacuum device. Results: From January 2014 to March 2016, 15 subjects affected by PD with severe penile curvatures were enrolled in the study. At 6 months after surgery, the IIEF scores for erectile function were not statistically significantly different before and after surgery (p > 0.05); the other items, especially orgasmic function (p = 0.01), sexual desire (p < 0.01), intercourse satisfaction (p = 0.01), and overall satisfaction (p = 0.04), were all statistically significant. The modified EDITS questionnaire reported that 80% of patients were satisfied, that 13.3% were dissatisfied, and that 1 patient (6.6%) was dissatisfied with the surgery. Moreover, there was no statistically significant decrease in the patients’ penile lengths. The aim of this study was to use a rehabilitation protocol consisting of Li-ESWT, the administration of 5 mg/daily, and the use of a vacuum device in order to preserve the erectile function of patients undergoing straightening approaches using surgical grafting. In addition, patient satisfaction following surgery was analyzed.

scholarly journals Penile prosthesis implant with bi-triangular excision and graft for surgical therapy of Peyronie’s disease: A case report

2016 ◽  
Vol 87 (4) ◽  
pp. 337
Author(s):  
Alexandre De Freitas Miranda ◽  
Bruno Lopes Cançado Machado
Keyword(s):  
Erectile Dysfunction ◽  
Penile Prosthesis ◽  
Peyronie’S Disease ◽  
Penile Curvature ◽  
Prosthesis Implantation ◽  
Inflatable Penile Prosthesis ◽  
High Satisfaction ◽  
Patient Reported ◽  
Penile Deviation ◽  
Peyronie's Disease

We present a case of a 65-year-old man, who presented with moderate erectile dysfunction and a dorsal penile deviation of 60° caused by Peyronie’s disease. The patient underwent bi-triangularshaped plaque excision, followed by grafting and implantation of inflatable penile prosthesis. Complete penile straightening, without mechanical or geometric abnormalities, was achieved using bi-triangular excision and grafting. Postoperatively, the patient reported high satisfaction with the results and could perform sexual intercourse naturally. This novel technique corrects any degree of penile curvature, permits malleable and semi-rigid penile prosthesis implantation, avoids penile length loss, and eliminates additional incisions. To our knowledge, this case is the first in the literature in which the bi-triangular technique was successfully used for penile prosthesis implantation secondary to Peyronie’s disease. This new technique appears to be a good solution to correct penile curvature during penile prosthesis implantation for the treatment of Peyronie’s disease associated with erectile dysfunction.

scholarly journals Penile Implants in the Treatment of Peyronie's Disease with Erectile Dysfunction

2020 ◽  
Vol 19 (2) ◽  
pp. 13-22
Author(s):  
Mazen Yones Muhammed ◽  
Keyword(s):  
Erectile Dysfunction ◽  
Pathological Condition ◽  
Penile Prosthesis ◽  
Peyronie’S Disease ◽  
Penile Curvature ◽  
Penile Prostheses ◽  
Penile Implants ◽  
Penile Implant ◽  
Residual Curvature ◽  
Peyronie's Disease

Background: Peyronie’s disease and erectile dysfunction is common related pathological condition and single treatment for both conditions is the goal. Objective: To report our practice in the managing of patients with Peyronie’s disease associated with erectile dysfunction. Patients and Methods: This study was carried out during the period of 2014-2018, twenty-one adult patients (39-68) years were treated by malleable penile implant surgery. All patients presented with Peyronie’s disease associated with erectile dysfunction. The sorts of additional maneuvers and their achievement in additional straightening the residual curvature have been stated. Results: We deliberate medical conditions that have an association between erectile dysfunction and Peyronie’s disease and performing straightening procedures, modeling was successful in decrease penile curvature and Patient satisfaction rates 80% for both patients, partners have been reported in this literature. Conclusion: However, when Peyronie’s disease exists with ED, the gold standard treatment is penile prosthesis surgery with additional straightening procedures. Keywords: Penile prostheses, Erectile dysfunction, Peyronie’s disease

Initial experience in the treatment of Peyronie’s disease using testicular vaginal tunica graft

2021 ◽  
pp. 205141582110166
Author(s):  
Rico Luis ◽  
Villasante Nicolás ◽  
Blas Leandro ◽  
Bonnano Nicolás ◽  
Ameri Carlos
Keyword(s):  
Sexual Function ◽  
Tunica Albuginea ◽  
Peyronie’S Disease ◽  
Sexual Life ◽  
Rank Test ◽  
Penile Curvature ◽  
Initial Experience ◽  
Level Of Evidence ◽  
Paired Samples ◽  
Peyronie's Disease

Background: Peyronie’s disease (PD) is a progressive disorder of the connective tissue of the tunica albuginea of the penis that produces an abnormal curvature, painful erections and different degrees of erectile dysfunction (ED). The aim of this study is to evaluate our initial experience in the surgical treatment of PD using an autologous graft of testicular vaginal tunica. Materials and methods: A retrospective study of 23 patients was carried out between 2015 and 2019. The successful surgical stretching rate was defined as a functional 20 degrees of curvature or less. Postoperative sexual function and complications rate were evaluated as secondary objectives. We used the abbreviated IIEF-5 questionnaire and evaluated the sexual function before and after the surgical procedure. Wilcoxon signed-rank test for paired samples (U test) was used, considering a value of p<0.05 to be statistically significant. Results: Only one patient presented a recurrence of the penile curvature, resulting in a 95.6% success rate of functional stretching. We observed a 1.6 and 0.9 difference between pre- and postoperative total score and satisfaction ( p = 0.002 and p = 0.003 respectively) Conclusion: In this series, the use of testicular vaginal tunic was found to be safe and effective with a significant change in the quality of sexual life, especially reflected in the overall satisfaction after the procedure and a low rate of complications. Level of evidence: Not applicable for this multicentre audit.

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