EVALUATION OF CORPORA ALTERATIONS AND ERECTILE DYSFUNCTION FOLLOWING RADICAL SURGERY FOR PEYRONIES-DISEASE AND LONG-TERM FOLLOW-UP ON 152 OPERATED PATIENTS

被引:0
作者
AUSTONI, E
COLOMBO, F
MANTOVANI, F
机构
[1] UNIV MILAN,INST UROL,I-20122 MILAN,ITALY
[2] CC POLICLIN,CTR UROANDROL,MILAN,ITALY
来源
JOURNAL OF ANDROLOGY | 1994年 / 15卷
关键词
PEYRONIES DISEASE; RADICAL SURGERY; ERECTILE FUNCTION;
D O I
暂无
中图分类号
R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
摘要
The radical surgical option we propose for Peyronie's disease consists in removing the sclerohyalinotic focus of disease and replacing it by an autologous dermal graft taken from the upper outer thigh area. Between 1981 and 1991, we operated on 335 patients with Peyronie's disease, 152 of whom underwent plaque excision and dermal graft. All could be assessed with a 2-year followup. Two main complications were observed: mild penile flexure due to scar retraction of the graft (35% of cases), and partial erectile deficit with decreased corporal rigidity (17% of cases). The degree of graft retraction is linked to the individual's histologic response. A mild deviation of the penis can occur some months after surgery and is not a relapse flexure due to disease progression, but is mere scar retraction and will spontaneously regress. Because the patient will date the onset of a postoperative erectile deficit from the time of the operation, it is advisable to assess preoperatively the erectile ability of all patients. Furthermore, an impaired erectile response could result from hypoaesthesia of the glans, postsurgical stress, and fibrosis of the erectile tissue. A retrospective assessment of radical surgery cases involving plaque excision and dermal graft led us to propose this option where precise indications apply, providing that other alterations of the erectile function are preoperatively assessed.
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页码:S57 / S62
页数:6
相关论文
共 9 条
[1]  
AUSTONI E, 1978, ARCH IT UROL NEFROL, V213, P50
[2]  
BELLOROFONTE C, 1987, ARCH IT UROL NEFROL, V2, P145
[3]   THE NESBIT PROCEDURE FOR PEYRONIES DISEASE [J].
BENSON, RC ;
PATTERSON, DE ;
POUTASSE, EF ;
MCROBERTS, JW .
JOURNAL OF UROLOGY, 1983, 130 (04) :692-694
[4]   SURGICAL TREATMENT OF PEYRONIES DISEASE WITH A DERMAL GRAFT [J].
DEVINE, CJ ;
HORTON, CE .
JOURNAL OF UROLOGY, 1974, 111 (01) :44-49
[5]  
ESCOURROU G, 1985, ANN UROL, V19, P333
[6]   PEYRONIES DISEASE AND ERECTILE FAILURE [J].
METZ, P ;
EBBEHOJ, J ;
UHRENHOLDT, A ;
WAGNER, G .
JOURNAL OF UROLOGY, 1983, 130 (06) :1103-1104
[7]  
PISANI E, 1990, MED THERAPY RADICAL
[8]  
SCHNEIDER H-J, 1985, International Urology and Nephrology, V17, P235, DOI 10.1007/BF02085410
[9]   SURGICAL-TREATMENT OF PEYRONIES DISEASE USING PENILE IMPLANTS - SURVEY OF 69 PATIENTS [J].
SUBRINI, L ;
FURLOW, WL .
JOURNAL OF UROLOGY, 1984, 132 (01) :47-50