title: Penile length and girth restoration in severe Peyronie's disease using circular and longitudinal grafting.
abstract: OBJECTIVE
  To report patient outcomes and satisfaction with our technique for penile length and girth restoration in severe Peyronie's disease (PD).
  
  
  METHODS
  Between November 2006 and November 2011, 105 men with severe PD and erectile dysfunction (ED) underwent surgical correction using our new approach. The technique consists of penile prosthesis implantation with concomitant penile lengthening and girth restoration through circular and longitudinal incisions in the tunica albuginea according to geometric principles.
  
  
  RESULTS
  The overall patient satisfaction rate was 89.4%. The mean (sd; range) functional penile length gain was 3.6 (0.7; 2-5) cm. Patient satisfaction with penile length gain was 95.2%. Three patients (2.9%) developed retraction with residual curvature of up to 30°, but no re-operation was necessary. In one (1%) patient, the prosthesis had to be removed because of wound infection. At a mean (sd; range) follow-up of 18.2 (5.9; 6-46) months, 104 patients (99%) were able to have sexual intercourse.
  
  
  CONCLUSIONS
  Our surgical approach for penile length and girth restoration leads to high patient satisfaction rates and excellent functional outcomes. Our surgical approach is a safe and valid therapeutic method for the treatment of severe PD associated with ED.
authors.affiliation: Centre for Peyronie's Disease Reconstruction, Sao Paulo, Brazil. phegydio@peyronie.com.br
authors.forename: Paulo H
authors.initials: PH
authors.lastname: Egydio
authors.forename: Franklin E
authors.initials: FE
authors.lastname: Kuehhas
authors.forename: Salvatore
authors.initials: S
authors.lastname: Sansalone
mesh_terms: D000328:Adult; D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009929:Organ Size; D017060:Patient Satisfaction; D019935:Penile Implantation / Q000379:methods*; D010411:Penile Induration / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D010413:Penis / Q000473:pathology* / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome