The Outcome of Multiple Slit on Plaque with Plication Technique for the Treatment of Peyronie's Disease

• Published in: The world journal of men's health 2016, 34(1), , pp.20-27
• Main Authors: Shin, Su Hwan, Jeong, Hyeong Guk, Park, Jong Jin, Chae, Ji Yun, Kim, Jong Wook, Oh, Mi Mi, Park, Hong Seok, Kim, Je Jong, Moon, Du Geon
• Format: Article
• Language: English
• Subjects: Clinical outcomes; Connective tissue diseases; Focal adhesions; Medical treatment; Original; Patient satisfaction; Penile induration; Penis; Sexual intercourse; Surgery; Surgical techniques; Vagina; 비뇨기과학
• ISSN: 2287-4208; 2287-4690
• DOI: 10.5534/wjmh.2016.34.1.20

To evaluate the postoperative outcome of the multiple slit on plaque plication technique for the treatment of Peyronie's disease. We retrospectively evaluated 22 patients who underwent plaque incision with penile plication for the surgical treatment of Peyronie's disease, who had failed medical treatment between 2009 and 2014. Patients were grouped by preoperative degree of penile curvature into Group I: mild (n=5, 22.7%), Group II: moderate (n=11, 50.0%), and Group III: severe (n=6, 27.3%). After a thorough review of the medical records, we evaluated (a) the correction of the curvature; (b) sexual function; and (c) any penile shortening or other complications. The mean postoperative follow-up period was 39 months. Complete correction of the curvature was attained in 21 patients (95.5%). As an inevitable complication, minimal penile shortening (21). The most frequent complication was subcutaneous penile edema in three patients (13.6%), which was resolved within about 3 months following surgery. As a modified technique, multiple slit on plaque with plication is a simple, minimally-invasive and effective technique for correcting penile curvature regardless of curvature severity. The degree of penile curvature does not significantly predict the amount of penile length loss.