title: Lingual mucosal graft in treatment of Peyronie disease.
abstract: OBJECTIVE
  To evaluate the use of lingual mucosal graft (LMG) as a substitute for tunica albuginea in the treatment of Peyronie disease (PD).
  
  
  METHODS
  Seventeen patients, reporting normal erectile function, with PD interfering with sexual function were operated on by plaque excision and grafting with LMG. Preoperative assessment included: the International Index of Erectile Function-5 score, penile duplex, and penile curvature angle measurement. Postoperative erectile function and penile deformity were assessed every 3 months for 9-18 months.
  
  
  RESULTS
  Mean age of the patients was 52 (± 4.7) years and mean angle of deformity was 60° (± 5.1). Donor site complications occurred in the form of mild transient swelling, numbness, and pain. Postoperative assessment showed complete penile straightening in 15 patients with mild curvature recurrence (<20°) in 2 patients at the third month. De novo mild erectile dysfunction was reported by 1 patient who responded to low-dose phosphodiesterase type 5 inhibitor. Patients' and partners' satisfaction was reported in 16 (94%) patients. These results remained stable until the end of the follow-up period.
  
  
  CONCLUSIONS
  LMG seems to be a valuable substitute for tunica albuginea in cases of PD. It is readily available and shows early graft take. It also proved safety, reliability, feasibility, and a satisfactory short-term outcome for the treatment of PD.
authors.affiliation: Department of Urology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
authors.forename: Emad A
authors.initials: EA
authors.lastname: Salem
authors.affiliation: Department of Urology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
authors.forename: Ehab H
authors.initials: EH
authors.lastname: Elkady
authors.affiliation: Department of Urology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Sakr
authors.affiliation: Department of Urology, Faculty of Medicine, Zagazig University, Zagazig, Egypt. Electronic address: arifmarof@yahoo.com.
authors.forename: Aref M
authors.initials: AM
authors.lastname: Maarouf
authors.affiliation: Department of Urology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
authors.forename: Lotfy
authors.initials: L
authors.lastname: Bendary
authors.affiliation: Department of Urology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
authors.forename: Salem
authors.initials: S
authors.lastname: Khalil
authors.affiliation: Department of Urology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
authors.forename: Ashraf
authors.initials: A
authors.lastname: Shahin
authors.affiliation: Department of Urology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
authors.forename: Hussein
authors.initials: H
authors.lastname: Kamel
mesh_terms: D000328:Adult; D015331:Cohort Studies; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000637:transplantation*; D017060:Patient Satisfaction; D010411:Penile Induration / Q000175:diagnosis* / Q000601:surgery*; D011446:Prospective Studies; D019651:Plastic Surgery Procedures / Q000379:methods*; D018570:Risk Assessment; D012720:Severity of Illness Index; D016378:Tissue Transplantation / Q000379:methods*; D014059:Tongue / Q000601:surgery; D016896:Treatment Outcome