title: Treatment of penile curvature with Essed-Schröder tunical plication: aspects of quality of life from the patients' perspective.
abstract: OBJECTIVE
  To investigate retrospectively the long-term functional results and quality of life of patients undergoing the Essed-Schröder procedure (a simple plication of the tunica albuginea) to correct penile deviation, using a standardized questionnaire.
  
  
  METHODS
  Between 1998 and 2001, 59 patients had surgery in our hospital to correct penile deviation (mean age 40 years at the time of surgery; mean follow-up 30 months for this study). All 59 patients received a standardized questionnaire via mail, of which 50 could be assessed as valid.
  
  
  RESULTS
  Of the 50 patients, 22 had a congenital penile deviation and 28 Peyronie's disease. In all patients the penis was completely straightened. The proportion of patients capable of sexual intercourse was significantly higher after surgery (90%) than before (62%). The frequency of pain during intercourse was halved. Of the 50 patients, 60% would have the same operation again, 32% were undecided and 8% would not; 22% were dissatisfied with the results. None of the patients had complete erectile dysfunction after surgery; 74% reported a decrease in penile length and 78% of the patients' partners were satisfied with the outcome.
  
  
  CONCLUSIONS
  The tunical plication procedure is simple and minimally invasive for correcting penile deviation. In the opinion of most patients the Essed-Schröder method provides a significant improvement in sexual function and quality of life with maximum protection of erectile function.
authors.affiliation: Department of Urology, University Hospital Schleswig-Holstein/Kiel, Germany.
authors.forename: C
authors.initials: C
authors.lastname: Van Der Horst
authors.forename: F J
authors.initials: FJ
authors.lastname: Martínez Portillo
authors.forename: C
authors.initials: C
authors.lastname: Seif
authors.forename: P
authors.initials: P
authors.lastname: Alken
authors.forename: K P
authors.initials: KP
authors.lastname: Juenemann
mesh_terms: D000328:Adult; D003075:Coitus; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D010411:Penile Induration / Q000151:congenital / Q000523:psychology / Q000601:surgery*; D010413:Penis / Q000601:surgery*; D011788:Quality of Life; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome