WORLD JOURNAL OF PLASTIC SURGERY

en Saphenous Vein Graft for Treatment of Peyronie’s Disease, a Comparison between Single and Multiple Graft Reconstruction تخصصي Special مقالات اصيل Original Article 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.   Peyronie’s disease, Grafting, Erectile dysfunction, Penile curvature, Surgical Procedure 62 67 http://wjps.ir/browse.php?a_code=A-10-750-2&slc_lang=en&sid=1 Kamyar Tavakoli Tabassi 100319475328460012889 100319475328460012889 Yes Department of Urology and Renal Transplantation, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran Mahdi Mottaghi 100319475328460012890 100319475328460012890 No 2- Kidney Transplantation Complications Research Center, Mashhad University of Medical Sciences, Mashhad, Iran Negar Nekooei 100319475328460012891 100319475328460012891 No 3- Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Sanaz Salehi 100319475328460012892 100319475328460012892 No 2- Kidney Transplantation Complications Research Center, Mashhad University of Medical Sciences, Mashhad, Iran Atena Aghaee 100319475328460012893 100319475328460012893 No Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran Salman Soltani soltanis@mums.ac.ir 100319475328460012894 100319475328460012894 No Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran