Incision and venous patch graft in the surgical treatment of penile curvature in Peyronie's disease.
OBJECTIVE
To assess the efficacy of incision and venous patch grafting method in the surgical treatment of the curvature in Peyronie's disease.


METHODS
Fifty-eight patients with Peyronie's disease underwent incision of the tunica albuginea with Peyronie's plaque(s) and venous patch grafting between 1994 and 1999. Segment(s) of lower saphenous vein in 48, deep dorsal vein in 7, and upper saphenous veins were used in 3 cases as venous patch(es). Assessment of the potency status, curvature, and vascular structure were performed pre-operatively with detailed history, counselling, autophotography, and color Doppler ultrasonography. Realistic expectations from the surgery was discussed with the patients in advance. Postoperative evaluation was performed at least twice, in the 6th week and the 3rd month. The third evaluation was done in 12-36 months by telephone.


RESULTS
Fifty of the patients (86%) achieved straight erections after the surgery. Five patients (9%) had improvement in their penile curvature that enabled them to perform sexual intercourse easily. In 3 of our patient (5%) recurrence of the curvature was observed. Penile shortening of 0.5-1.5 cm was observed in 13 of the cases (22.4%). Fifty-four cases (93%) reported no change in their quality of erections.


CONCLUSIONS
Incision of the tunica albuginea and venous patch grafting technique is a very satisfactory surgical method in the treatment of the curvature in Peyronie's disease.
Akkus
E
E
Department of Urology, Cerrahpasa School of Medicine, Istanbul University, Istanbul, Turkey. emreak@istambul.edu.tr
Ozkara
H
H
Alici
B
B
Demirkesen
O
O
Akaydin
A
A
Hattat
H
H
Solok
V
V
D000328:Adult; D006801:Humans; D008297:Male; D008875:Middle Aged; D010411:Penile Induration / Q000601:surgery*; D010413:Penis / Q000098:blood supply; D011183:Postoperative Complications; D012008:Recurrence; D012501:Saphenous Vein / Q000637:transplantation*; D014680:Veins / Q000637:transplantation