Scrotal septum detachment during penile plication to compensate for loss of penile length compared with conventional surgical technique

• Published in: Investigative and clinical urology 2020, 61(2), , pp.224-230
• Main Authors: Ahn, Sun Tae, Lee, Dong Hyun, Jeong, Hyeong Guk, Kim, Jong Wook, Moon, Du Geon
• Format: Article
• Language: English
• Subjects: Adult; Aged; Humans; Innovations in Urology; Male; Middle Aged; Organ Size; penile induration; Penile Induration - surgery; penis; Penis - anatomy & histology; Penis - surgery; Retrospective Studies; Scrotum - surgery; surgery; Treatment Outcome; Urologic Surgical Procedures, Male - methods; Young Adult; 비뇨기과학
• ISSN: 2466-0493; 2466-054X
• DOI: 10.4111/icu.2020.61.2.224

To evaluate the efficacy and safety of penile elongation featuring simple scrotal septum detachment from the penile base to compensate for the loss of penile length during penile plication in patients with Peyronie's disease compared with conventional penile plication. We conducted a retrospective analysis of 38 patients (24-75 years of age) with Peyronie's disease who underwent penile plication with or without our novel technique from January 2009 to May 2018. Penile elongation was achieved by release and detachment of the scrotal septum from the penile base to the level of the scrotal fat tissue. The objective outcome of change in stretched penile length (SPL) and the subjective outcome of patient perception of postoperative penile length were compared between groups. Any postoperative complications were recorded. Of the 38 patients, 16 underwent penile plication with scrotal septum detachment (elongation group) and 22 underwent penile plication only (conventional group). The postoperative mean SPL was increased in the elongation group and decreased in the conventional group (1.2±1.3 cm vs. -0.5±0.3 cm, p