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LONG-TERM FOLLOW-UP OF TREATMENT OF PEYRONIES-DISEASE WITH PLAQUE INCISION, CARBON-DIOXIDE LASER PLAQUE ABLATION AND PLACEMENT OF A DEEP DORSAL VEIN PATCH GRAFT
被引:36
作者:
KIM, ED
MCVARY, KT
机构:
[1] Department of Urology, Northwestern University Medical School, Chicago, IL
关键词:
PENILE INDURATION;
PENILE ERECTION;
IMPOTENCE;
LASER SURGERY;
TISSUE TRANSPLANTATION;
D O I:
10.1016/S0022-5347(01)67326-9
中图分类号:
R5 [内科学];
R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号:
1002 ;
100201 ;
摘要:
Numerous surgical therapies have been used for Peyronie's disease in patients who maintain potency. We report on incision and carbon dioxide laser ablation of Peyronie's plaque combined with a deep dorsal vein patch graft in the treatment of 6 men (mean age 57 years). The chief indication for surgery was curvature interfering with intromission, with voiding difficulty being a secondary indication as well. Long-term followup (mean 31 months) was available in 6 men, each of whom was potent preoperatively. Potency was preserved in all men, and 5 described significant improvement in penetration and curvature. In 1 patient the curvature returned to preoperative levels. Each patient reported a subjective shortening of the penis from one-quarter to 1 inch but no case was functionally debilitating. We describe this technique, which to our knowledge has been reported previously by only 1 group with 18 patients, and conclude that it may be used with successful preservation of potency and restoration of intercourse in the treatment of Peyronie's plaques.
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页码:1843 / 1846
页数:4
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