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Original Research

Levine’s proposals for the surgical treatment of Peyronie’s disease: Graft applications and plication technique


1 Adıyaman Üniversitesi Tıp Fakültesi Üroloji Ana Bilim Dalı, Adıyaman, Türkiye

2 Adıyaman Üniversitesi Tıp Fakültesi Acil Tıp Ana Bilim Dalı, Adıyaman, Türkiye

2 Adıyaman Üniversitesi Tıp Fakültesi Acil Tıp Ana Bilim Dalı, Adıyaman, Türkiye

1 Adıyaman Üniversitesi Tıp Fakültesi Üroloji Ana Bilim Dalı, Adıyaman, Türkiye


DOI :
New J Urol. 2016; 11 (1): 32-37

Abstract

Objectives: In this study, the success of tech-niques used for the correction of penile curva-ture due to Peyronie’s disease was investigated.  Graft techniques and penile plication technique, which are rare surgeries in urology practise were examined.

Material and Methods: Data of nine pa-tients who underwent corrective penile sur-gery for correction of penile curvature due to Peyronie’s disease between June 2012 and May 2014 were reviewed retrospectively.

Results: Penile curvature was over 60 deg-rees in 4 patients and between 45-60 degrees in 5 patients. 4 patients underwent saphenous vein grafting and 3 patients underwent penile plicati-on. 1 patient underwent vein graft and plication in same session and 1 patient underwent dermal graft and plication in same session. Complete flattening of penis was achieved in 7 patients.  Residual curvature greater than 30 degrees was remained in 1 patient that vein graft was applied.

Conclusion: Graft applications and penile plication technique can be applied with suc-cess in correction of penile curvature due to Peyronie’s disease. We think that graft applica-tions are more suitable in patients with penile curvature that more than 60 degrees and penile plication technique is more suitable in patients with curvature that less than 60 degrees.

Key Words: Graft; Peyronie’s disease; plication


Abstract

Objectives: In this study, the success of tech-niques used for the correction of penile curva-ture due to Peyronie’s disease was investigated.  Graft techniques and penile plication technique, which are rare surgeries in urology practise were examined.

Material and Methods: Data of nine pa-tients who underwent corrective penile sur-gery for correction of penile curvature due to Peyronie’s disease between June 2012 and May 2014 were reviewed retrospectively.

Results: Penile curvature was over 60 deg-rees in 4 patients and between 45-60 degrees in 5 patients. 4 patients underwent saphenous vein grafting and 3 patients underwent penile plicati-on. 1 patient underwent vein graft and plication in same session and 1 patient underwent dermal graft and plication in same session. Complete flattening of penis was achieved in 7 patients.  Residual curvature greater than 30 degrees was remained in 1 patient that vein graft was applied.

Conclusion: Graft applications and penile plication technique can be applied with suc-cess in correction of penile curvature due to Peyronie’s disease. We think that graft applica-tions are more suitable in patients with penile curvature that more than 60 degrees and penile plication technique is more suitable in patients with curvature that less than 60 degrees.

Key Words: Graft; Peyronie’s disease; plication