The Therapeutic Effects of Intracavernosal Plaque Excision in Peyronie's Disease: A None Grafting or Tunical Excising Procedure.
BACKGROUND
Current surgical treatments in Peyronie's disease are accompanied by complications such as penile shortening, loss of sensation, erectile dysfunction and recurrence of disease. The aim of this study was the evaluation of clinical results of intracavernosal plaque excision in Peyronie's disease.


METHODS
The operation was performed on 35 men. It was consisted of incising the tunica albuginea parallel to the plaque and through this incision, and the plaque was removed from the inside surface without excision or replacing the underlying tunica albuginea by grafts. All patients were evaluated before and periodically within 12 months after the surgery with measurement of penile length, curvature angle in the rigidity phase, and sexual satisfaction.


RESULTS
The mean age of patients was 51.4±5.3 years (range 42-59 years). The angle of penile curvature was 25-45° (mean=35°). Thirty patients (86%) obtained a nearly complete straightening of penis. All patients restored their previous penile length without any disorder of sensation within the glans penis and expressed improvement of sexual activity.


CONCLUSIONS
Intracavernosal plaque excision is a simple, easy and minimal invasive method that does not result in penile shortening, loss of sensation or erectile dysfunction. In properly selected patients, this technique can lead to acceptable elimination of penile curvature and sexual satisfaction.
Department of Urology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran;
Hassan
H
Ahmadnia
Department of Urology, Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran;
Ali
A
Kamalati
Department of Urology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
Mehdi
M
Younesi Rostami
Department of Urology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran;
Mohammad Mehdi
MM
Imani
Department of Urology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran;
Amir Abbas
AA
Asadpour
Department of Urology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran;
Mohammad Kazem
MK
Hariri
Excision; Intracavernosal plaque; Penis; Peyronie’s disease