Preoperative Clinical and Diagnostic Characteristics of Patients Who Require Delayed IPP after Primary Peyronies Repair

Penile vascular abnormalities occur in a high proportion of patients with Peyronie's disease (PD). Penile duplex ultrasonography (PDU) and dynamic infusion cavernosometry and cavernosography (DICC) are tools that can be used to help tailor individualized treatment for patients undergoing surgic...

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Bibliographic Details
Published in:Journal of sexual medicine 2010-03, Vol.7 (3), p.1262-1268
Main Authors: Alphs, Hannah H., Navai, Neema, Köhler, Tobias S., McVary, Kevin T.
Format: Article
Language:English
Subjects:
Adult
Cavernosometry
Doppler Ultrasonography
Erectile Dysfunction
Erectile Dysfunction - etiology
Erectile Dysfunction - surgery
Humans
Male
Middle Aged
Penile Implantation - methods
Penile Induration - diagnosis
Penile Induration - surgery
Penis - diagnostic imaging
Penis - surgery
Peyronie's Disease
Postoperative Complications
Preoperative Care
Severity of Illness Index
Surgery for Peyronie's Disease
Time Factors
Ultrasonography, Doppler, Duplex
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Summary:Penile vascular abnormalities occur in a high proportion of patients with Peyronie's disease (PD). Penile duplex ultrasonography (PDU) and dynamic infusion cavernosometry and cavernosography (DICC) are tools that can be used to help tailor individualized treatment for patients undergoing surgical intervention for their PD. However, precisely which parameters can be used to predict those patients with PD at risk for developing erectile dysfunction (ED) after intervention without inflatable penile prosthesis (IPP) has not been previously elucidated. To evaluate preoperative vascular parameters that predispose PD patients for developing ED after intervention without IPP. Twenty-six patients receiving surgical intervention for their PD at a single center were retrospectively identified. Of these, 11 (42.3%) opted for primary repair without placement of an IPP. Three (27.2%) of these 11 patients went on to develop ED postoperatively. We compared various demographic, PDU, and DICC parameters between patients who did and did not fail primary repair of their PD. Mean age and follow-up of patients who went on to develop ED after repair of PD without IPP were not significantly different (P
ISSN:1743-6095
1743-6109
DOI:10.1111/j.1743-6109.2009.01649.x