title: The results of plaque incision and venous grafting (Lue procedure) to correct the penile deformity of Peyronie's disease.
abstract: OBJECTIVE
  To assess plaque incision and venous grafting (the Lue procedure) to correct the deformity associated with Peyronie's disease and to maintain penile length, evaluating the results over an 8-year period.
  
  
  METHODS
  The penile deformity of 113 patients (mean age 45 years, range 17-71) with Peyronie's disease was corrected by plaque incision and saphenous vein grafting. All patients had stable Peyronie's disease and had a mean (range) penile deformity of 64.5 (20-180) degrees; the mean follow-up was 12 months.
  
  
  RESULTS
  The result was excellent or satisfactory in 105 patients (93%), and the penis completely straightened in 97 (86%). Erectile dysfunction after surgery developed in 10 of 68 potent patients (15%) although they had arterial risk factors of diabetes, hypertension or cardiac disease that may also have contributed. There was penile shortening of > 1 cm in 29 men (25%) but this only prevented intercourse in two. Of the 51 patients with > or = 5 years of follow-up, the penis remained completely straight in 80% but the incidence of erectile dysfunction increased to 22.5% and penile shortening of > 1 cm to 35%.
  
  
  CONCLUSIONS
  The Lue procedure is an effective long-term option in the surgical management of Peyronie's disease, but penile shortening after surgery remains a risk, and patients with vascular risk factors must be warned of the possibility of later erectile dysfunction.
authors.affiliation: The St Peter's Andrology Centre and The Institute of Urology, London, UK.
authors.forename: Jas
authors.initials: J
authors.lastname: Kalsi
authors.forename: Suks
authors.initials: S
authors.lastname: Minhas
authors.forename: Nim
authors.initials: N
authors.lastname: Christopher
authors.forename: David
authors.initials: D
authors.lastname: Ralph
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D007172:Erectile Dysfunction / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010411:Penile Induration / Q000601:surgery*; D010413:Penis / Q000601:surgery*; D013524:Surgical Flaps