Penile dermal flap in patients with Peyronie's disease: long-term results.
OBJECTIVE
In 1995 a penile dermal flap was described as an ideal operation for penile curvature due to Peyronie's disease. We report our experience with penile dermal flaps in patients with penile curvature due to Peyronie's disease.


METHODS
Between January 2001 and May 2004, 26 potent white men with Peyronie's disease underwent corporoplasty with a penile dermal flap. They were evaluated at 3, 6 and 12 months, and yearly thereafter by determination of penile length changes and residual curvature, and the International Index of Erectile Function-5.


RESULTS
At the maximum followup (mean 95 months, range 81 to 108) 22 of 26 patients (85%) were available for examination, of whom 14 (63.6%) had no residual curvature, and 2 (9.1%) and 7 (31.8%) had improved and worse erectile function, respectively. Nine patients (40.9%) had inclusion cysts at the surgical site, including 5 who underwent surgical cyst removal with no cyst recurrence. Only 9 of 22 patients (40.9%) were satisfied with the cosmetic and functional outcome.


CONCLUSIONS
Despite the attractiveness of the operation to our knowledge no other experience with this technique has been reported. Our results differ from those reported, although we tried to exactly follow the original technique of dermabrading the flap with sandpaper. Based on these results we abandoned the penile dermal flap in patients with Peyronie's disease.
Simonato
Alchiede
A
Luciano Giuliani Department of Urology, University of Genova, Genova, Italy. alchiede.simonato@unige.it
Gregori
Andrea
A
Varca
Virginia
V
Venzano
Fabio
F
De Rose
Aldo Franco
AF
Ambruosi
Carlo
C
Esposito
Marco
M
Carmignani
Giorgio
G
D000328:Adult; D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010411:Penile Induration / Q000601:surgery*; D016038:Skin Transplantation; D013524:Surgical Flaps; D013997:Time Factors; D013521:Urologic Surgical Procedures, Male / Q000379:methods