Simultaneous penile lengthening and penile prosthesis implantation in patients with Peyronie's disease, refractory erectile dysfunction, and severe penile shortening.
BACKGROUND
Due to loss of length, patients who had penile prosthesis implantation for Peyronie's disease (PD) show a statistically significant reduction in their levels of satisfaction when compared with the general implant population.


OBJECTIVE
The aim of this study is to report our experience of penile lengthening with circumferential graft during penile prosthesis implantation in patients with PD and severe penile shortening.


METHODS
Between March 2006 and February 2008, 23 patients with PD, refractory erectile dysfunction, and severe penile shortening underwent penile lengthening with circumferential graft and concomitant implantation of an inflatable penile prosthesis.


METHODS
Surgical outcome and complications have been recorded during postoperative follow-up. Patients' satisfaction has been assessed 6 months postoperatively with the administration of the modified Erectile Dysfunction Index of Treatment Satisfaction (EDITS) questionnaire.


RESULTS
After an average follow-up of 22 months (range 6-36), 20 patients attended all the postoperative follow-up visits and returned the EDITS questionnaire. An average length gain of 2.8 cm (range 2.2-4.5) was recorded, and all patients were able to cycle the device and engage in penetrative sexual intercourse. Patient recorded complications included diminished glans sensitivity in four (20%) and persistent dorsal curvature of less than 15° in three (15%). Overall, 18 patients (90%) were satisfied with the cosmetic and functional result of surgery.


CONCLUSIONS
Penile lengthening with circumferential graft during penile prosthesis implantation in patients with PD represents a safe and reproducible technique that yields higher satisfaction rates than penile prosthesis implantation alone in patients with severe penile shortening.
Department of Urology, School of Medicine Tor Vergata University of Rome, Rome, Italy. salvatore.sansalone@yahoo.it
Salvatore
S
Sansalone
Giulio
G
Garaffa
Rados
R
Djinovic
Paulo
P
Egydio
Giuseppe
G
Vespasiani
Roberto
R
Miano
Carla
C
Loreto
David J
DJ
Ralph
D000328:Adult; D007172:Erectile Dysfunction / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D019935:Penile Implantation / Q000379:methods*; D010411:Penile Induration / Q000473:pathology / Q000601:surgery*; D015917:Penile Prosthesis; D010413:Penis / Q000033:anatomy & histology / Q000473:pathology / Q000601:surgery*; D011795:Surveys and Questionnaires; D019737:Transplants; D016896:Treatment Outcome