title: Long-term followup of treatment of Peyronie's disease with plaque incision, carbon dioxide laser plaque ablation and placement of a deep dorsal vein patch graft.
abstract: 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.
authors.affiliation: Department of Urology, Northwestern University Medical School, Chicago, Illinois, USA.
authors.forename: E D
authors.initials: ED
authors.lastname: Kim
authors.forename: K T
authors.initials: KT
authors.lastname: McVary
mesh_terms: D000368:Aged; D002245:Carbon Dioxide; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D006801:Humans; D053685:Laser Therapy; D008297:Male; D008875:Middle Aged; D010411:Penile Induration / Q000601:surgery*; D010413:Penis / Q000098:blood supply / Q000601:surgery; D013997:Time Factors; D014680:Veins / Q000637:transplantation
chemical_list: D002245:Carbon Dioxide