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Scrotal septum detachment during penile plication to compensate for loss of penile length compared with conventional surgical technique - PubMed

Comparative Study

Scrotal septum detachment during penile plication to compensate for loss of penile length compared with conventional surgical technique

Sun Tae Ahn et al. Investig Clin Urol. 2020 Mar.

Abstract

Purpose: To evaluate the efficacy and safety of penile elongation featuring simple scrotal septum detachment from the penile base to compensate for the loss of penile length during penile plication in patients with Peyronie's disease compared with conventional penile plication.

Materials and methods: We conducted a retrospective analysis of 38 patients (24-75 years of age) with Peyronie's disease who underwent penile plication with or without our novel technique from January 2009 to May 2018. Penile elongation was achieved by release and detachment of the scrotal septum from the penile base to the level of the scrotal fat tissue. The objective outcome of change in stretched penile length (SPL) and the subjective outcome of patient perception of postoperative penile length were compared between groups. Any postoperative complications were recorded.

Results: Of the 38 patients, 16 underwent penile plication with scrotal septum detachment (elongation group) and 22 underwent penile plication only (conventional group). The postoperative mean SPL was increased in the elongation group and decreased in the conventional group (1.2±1.3 cm vs. -0.5±0.3 cm, p<0.001). Fourteen of 16 patients (87.5%) in the elongation group reported perceived penile lengthening after surgery, whereas 17/22 patients (77.3%) in the conventional group complained of penile shortening. We encountered no procedure-related complications such as hematoma, infection, or necrosis in either group.

Conclusions: Simple detachment of the scrotal septum from the penile base afforded both objective and subjective penile elongation without any severe complications compared with conventional penile plication.

Keywords: General surgery; Penile induration; Penis.

© The Korean Urological Association, 2020.

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Conflict of interest statement

CONFLICTS OF INTEREST: The authors have nothing to disclose.

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References

    1. Mulhall JP, Schiff J, Guhring P. An analysis of the natural history of Peyronie's disease. J Urol. 2006;175:2115–2118. discussion 2118. - PubMed
    1. Nelson CJ, Diblasio C, Kendirci M, Hellstrom W, Guhring P, Mulhall JP. The chronology of depression and distress in men with Peyronie's disease. J Sex Med. 2008;5:1985–1990. - PubMed
    1. Tan RB, Sangkum P, Mitchell GC, Hellstrom WJ. Update on medical management of Peyronie's disease. Curr Urol Rep. 2014;15:415. - PubMed
    1. Ralph D, Gonzalez-Cadavid N, Mirone V, Perovic S, Sohn M, Usta M, et al. The management of Peyronie's disease: evidence-based 2010 guidelines. J Sex Med. 2010;7:2359–2374. - PubMed
    1. Gholami SS, Lue TF. Correction of penile curvature using the 16-dot plication technique: a review of 132 patients. J Urol. 2002;167:2066–2069. - PubMed

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