Volume 11, Issue 2 (7-2022)                   WJPS 2022, 11(2): 62-67 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Tabassi K T, Mottaghi M, Nekooei N, Salehi S, Aghaee A, Soltani S. Saphenous Vein Graft for Treatment of Peyronie’s Disease, a Comparison between Single and Multiple Graft Reconstruction. WJPS 2022; 11 (2) :62-67
URL: http://wjps.ir/article-1-932-en.html
Department of Urology and Renal Transplantation, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract:   (885 Views)
Background: Surgical reconstruction is the gold standard of treatment for Peyronie’s disease (PD). Grafting procedures provide satisfactory outcomes in patients with complex curvature, short penile length, and without previous erectile dysfunction (ED). We aimed to compare two different grafting methods of reconstruction in patients with PD.
Method: Fifty-two PD patients at Imam-Reza hospital of Mashhad from October 2011 to January 2019 with stable plaque, penile angulation of >60˚, complex curvature, and without ED who consented to cooperate, included in our study and divided into two groups. The first group consists of 26 patients, undergone grafting through a double-Y incision and a single saphenous graft placed within the incision. For the second group, two smaller saphenous vein grafts were placed in the two parallel incisions. ED assessed pre- and post-operational via the International index of erectile function. Penile angulation less than 20 degrees was considered a favorable outcome. Patients followed for 18 months, and sacculation, penile shortening, post-operation infection, and penile hypoesthesia were assessed as complications. We used a paired t-test to compare these two groups.
Results: ED was 25% and 12% in the first and the second group, respectively. Statistics showed no difference between the two groups regarding pre and post-operational ED (P=0.1). Regarding complications during follow-up, sacculation occurred in four patients of the first group and none of the second group patients but no significant difference (P=0.23).
Conclusion: We found no superiority to declare between these two procedures, although regarding the small sample size of our study, further evaluations are needed to establish more reliable results.
 
Full-Text [PDF 927 kb]   (519 Downloads)    
Type of Study: Original Article | Subject: Special
Received: 2022/06/18 | Accepted: 2022/07/19 | Published: 2022/07/30

References
1. Cohen SDJRiu. Diagnosis and Treatment of Peyronie Disease With Both Dorsal and Ventral Plaques Using Doppler Ultrasound: NYU Case of the Month, July 2019. Rev Urol 2019;21(2-3):127.
2. Kayigil O, Ozcan MF, Cakici OUJA. The comparison of an acellular matrix graft with an autologous venous graft in the surgical treatment of Peyronie's disease. Andrologia 2019;51(1):e13168. [DOI:10.1111/and.13168] [PMID]
3. Almeida JL, Felício J, Martins FEJSMR. Surgical Planning and Strategies for Peyronie's Disease. Sex Med Rev 2020; 9(3):478-487. [DOI:10.1016/j.sxmr.2020.07.008] [PMID]
4. García-Gómez B, González-Padilla DA, Alonso-Isa M, Medina-Polo J, Romero-Otero JJIjoir. Plication techniques in Peyronie's disease: new developments. Int J Impot Res 2019:1-7. [DOI:10.1038/s41443-019-0204-1] [PMID]
5. Nehra A, Alterowitz R, Culkin DJ, et al. Peyronie's disease: AUA guideline. J Urol 2015;194(3):745-53. [DOI:10.1016/j.juro.2015.05.098] [PMID] [PMCID]
6. Fojecki GL, Tiessen S, Osther PJSJWjou. Extracorporeal shock wave therapy (ESWT) in urology: a systematic review of outcome in Peyronie's disease, erectile dysfunction and chronic pelvic pain. World J Urol 2017;35(1):1-9. [DOI:10.1007/s00345-016-1834-2] [PMID]
7. Russo GI, Cacciamani G, Cocci A, et al. Comparative effectiveness of intralesional therapy for Peyronie's disease in controlled clinical studies: A systematic review and network meta-analysis. J Sex Med 2019;16(2):289-299. [DOI:10.1016/j.jsxm.2018.12.011] [PMID]
8. Eng TY, Abugideiri M, Chen TW, et al. Radiation Therapy for Benign Disease: Keloids, Macular Degeneration, Orbital Pseudotumor, Pterygium, Peyronie Disease, Trigeminal Neuralgia. Hematology/Oncology Clinics 2020;34(1):229-51. [DOI:10.1016/j.hoc.2019.09.006] [PMID]
9. Haney NM, Kohn TP, Nichols PE, Hellstrom WJJU. The effect of adjunct mechanical traction on penile length in men undergoing primary treatment for Peyronie's disease: A systematic review and meta-analysis. Urology 2018;122:110-5. [DOI:10.1016/j.urology.2018.07.039] [PMID]
10. Chung E, Ralph D, Kagioglu A, et al. Evidence-based management guidelines on Peyronie's disease. J Sex Med 2016;13(6):905-23. [DOI:10.1016/j.jsxm.2016.04.062] [PMID]
11. Rice PG, Somani BK, Rees RWJSm. Twenty years of plaque incision and grafting for Peyronie's disease: a review of literature. Sex Med 2019; 7(2):115-128. [DOI:10.1016/j.esxm.2019.01.001] [PMID] [PMCID]
12. Miranda AF, Sampaio FJJTjosm. A Geometric Model of Plaque Incision and Graft for P eyronie's Disease with Geometric Analyses of Different Techniques. J Sex Med 2014;11(6):1546-53. [DOI:10.1111/jsm.12462] [PMID]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2022 CC BY-NC 4.0 | World Journal of Plastic Surgery

Designed & Developed by : Yektaweb