[Penile tunica albuginea plication for the treatment of penile curvature secondary Peyronie's disease].
OBJECTIVE
To evaluate, in a retrospective analysis, our long-term results of patients undergoing the Essed plication procedure for the correction of penile curvature due to Peyronie's disease.


METHODS
Between January 1998 and June 2003, 83 patients with acquired penile deviation were treated with the Essed technique in our hospital. We analyse the following data: age, main complaint, type of deviation, erection before and after the surgery, physical exploration, ecographic data, complications and results.


RESULTS
Mean follow-up was 36 months. Main complaint was penile curvature in 96.3% of patients. The most frequent types of deviation were dorsal (55.4%) and left lateral (48.1%). Erection before surgery was sufficient for sexual intercourse in 74.7%. Physical exploration revealed a plaque in 79.5% of the patients. 93% of the cases reported complete penile curvature correction or residual deviation < 10 degrees. 65.1% of the patients were satisfied or very satisfied with the result of the operation and 64% were able to perform sexual intercourse.


CONCLUSIONS
The Essed plication is a simple and minimally invasive method for correcting acquired penile deviation. Although functional results seem to be satisfactory, in our experience the degree of satisfaction with the outcome is not as good, among the patients, as it could be expected.
Cruceyra Betriu
Guillermo
G
Servicio de Urología, Hospital Universitario 12 de Octubre y Hospital de Móstoles, Madrid, España. gcruceyra@hotmail.com
Duarte Ojeda
José Manuel
JM
Martínez Silva
Víctor
V
Alvarez González
Enrique
E
Capitán Manjón
Carlos
C
Piedra Lara
José David
JD
Leiva Galvis
Oscar
O
D000328:Adult; D000368:Aged; D002114:Calcinosis / Q000601:surgery; D007172:Erectile Dysfunction / Q000209:etiology; D005355:Fibrosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010411:Penile Induration / Q000150:complications / Q000601:surgery*; D010413:Penis / Q000601:surgery*; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome