title: Patient-reported long-term sexual outcomes following plication surgery for penile curvature: A retrospective 58-patient study.
abstract: OBJECTIVE
  To evaluate long-term sexual function results following plication surgery for the correction of penile curvature using patient questionnaires.
  
  
  METHODS
  We performed a single-center, retrospective study in a cohort of patients with Peyronie's disease or congenital penile curvature. All patients who underwent plication surgery on the convex aspect using the Nesbit, Yachia or diamond-shaped techniques were included. At a mean 34 months after the interventions, the patients were asked to respond to the IIEF5 questionnaire and a 19-item questionnaire.
  
  
  RESULTS
  Forty-six patients operated for Peyronie's disease and 12 for congenital curvature (total: 58) were included in the study. The questionnaire response rate was 69% (40/58). The shortened penis bothered 47.5% of patients in their sexuality at least regularly. Involuntary exit from the vagina occurred for 35% of the patients in at least one out of two sexual intercourse sessions. Postoperative sexual life was as good as or better than preoperative sexual life for 35% of the patients and 95% stated that they could achieve erection at least sometimes, in coherence with the mean IIEF5 result of 19.3/25.
  
  
  CONCLUSIONS
  Our study suggests that even when successful, a relatively high rate of patients may be unsatisfied with the results of plication surgery, and there may be a relatively low rate of maintenance or improvement of postoperative sexual life. Furthermore, our in-house questionnaire, although not validated, shed light on how bothersome the loss of penis length is in postoperative sexuality, an aspect the IIEF5 and its sole evaluation of erectile quality cannot detect.
  
  
  METHODS
  4.
authors.affiliation: Département d'urologie, centre hosptalier Lyon Sud, chemin du Grand-Revoyet, 69495 Pierre-Benite cedex, France. Electronic address: abaldini@hotmail.fr.
authors.forename: A
authors.initials: A
authors.lastname: Baldini
authors.affiliation: Département d'urologie, centre hosptalier Lyon Sud, chemin du Grand-Revoyet, 69495 Pierre-Benite cedex, France. Electronic address: nicolas.morel-journel@chu-lyon.fr.
authors.forename: N
authors.initials: N
authors.lastname: Morel-Journel
authors.affiliation: Département d'urologie, centre hosptalier Lyon Sud, chemin du Grand-Revoyet, 69495 Pierre-Benite cedex, France. Electronic address: philippe.paparel@chu-lyon.fr.
authors.forename: P
authors.initials: P
authors.lastname: Paparel
authors.affiliation: Département d'urologie, centre hosptalier Lyon Sud, chemin du Grand-Revoyet, 69495 Pierre-Benite cedex, France. Electronic address: alain.ruffion@chu-lyon.fr.
authors.forename: A
authors.initials: A
authors.lastname: Ruffion
authors.affiliation: Département d'urologie, centre hosptalier Lyon Sud, chemin du Grand-Revoyet, 69495 Pierre-Benite cedex, France. Electronic address: jetterrier@yahoo.fr.
authors.forename: J-E
authors.initials: JE
authors.lastname: Terrier
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003075:Coitus; D006801:Humans; D008297:Male; D008875:Middle Aged; D000071066:Patient Reported Outcome Measures; D010410:Penile Erection; D010411:Penile Induration / Q000601:surgery*; D010413:Penis / Q000002:abnormalities* / Q000601:surgery*; D012189:Retrospective Studies; D057566:Self Report; D013521:Urologic Surgical Procedures, Male / Q000379:methods; D055815:Young Adult
keywords: Chirurgie de la convexité; Functional evaluation; Induration pénienne; Maladie de Lapeyronie; Penile induration; Penile plication surgery; Peyronie's disease; Questionnaire; Résultats fonctionnels