Long-term patient satisfaction after surgical correction of penile curvature via tunical plication.
OBJECTIVE
To assess patient satisfaction and functional results at long term follow-up after surgical correction for Peyronie's disease (PD) and congenital penile curvature (CPC) with the technique of tunical plication.


METHODS
One hundred and two men operated for PD (n = 76) or CPC (n = 26) in four different departments of urology in public hospitals agreed to answer a six-question telephone questionnaire about treatment satisfaction. Tunica albuginea plication procedures represented the standard surgical approach. Subjects under investigation were correction of the deformity, feeling of bumps under the skin, pain during erection, penile sensory changes, development of erectile dysfunction (ED) and postoperative ability for complete vaginal intromission. Subjective response rates were compared using the chi square test on the basis of the etiology of the disease (CPC or PD).


RESULTS
Significant differences (p < 0.05) between patients with CPC and PD were noticed in the prevalence of postoperative penile deformity, sensory changes, ED and ability to complete vaginal intromission, PD patients always showing a more pessimistic view. No significant differences (p = ns) were detected in terms of unpleasant nodes under the penile skin or pain during erection.


CONCLUSIONS
Long-term outcome after surgical correction for PD and CPC with the technique of tunical plication can be poor. Probably patient expectations are above the real performance of surgical techniques. Preoperative information should be more exhaustive.
Paez
Alvaro
A
Department of Urology, Fuenlabrada Hospital, Madrid, Spain. apaez.hflr@salud.madrid.org
Mejias
Juan
J
Vallejo
Jorge
J
Romero
Ignacio
I
De Castro
Miguel
M
Gimeno
Fernando
F
D000328:Adult; D016009:Chi-Square Distribution; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010410:Penile Erection / Q000502:physiology*; D010411:Penile Induration / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D010413:Penis / Q000002:abnormalities / Q000601:surgery; D011184:Postoperative Period; D011788:Quality of Life; D011795:Surveys and Questionnaires; D013536:Suture Techniques; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male / Q000379:methods* / Q000592:standards