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Results of Surgical Treatment for Abnormal Penile Curvature: Peyronie's Disease and Congenital Deviation by Modified Nesbit Plication (Tunical Shaving and Plication)

1997; Lippincott Williams & Wilkins; Volume: 157; Issue: 4 Linguagem: Inglês

10.1016/s0022-5347(01)64953-x

1527-3792

Jamil Rehman, Alexandru E. Benet, Lloyd Minsky, Arnold Melman,

Sexual Differentiation and Disorders

No AccessJournal of UrologyClinical Urology: Original Article1 Apr 1997Results of Surgical Treatment for Abnormal Penile Curvature: Peyronie's Disease and Congenital Deviation by Modified Nesbit Plication (Tunical Shaving and Plication) Jamil Rehman, Alexandru Benet, Lloyd S. Minsky, and Arnold Melman Jamil RehmanJamil Rehman , Alexandru BenetAlexandru Benet , Lloyd S. MinskyLloyd S. Minsky , and Arnold MelmanArnold Melman View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)64953-XAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We report a modification of the Nesbit plication with partial thickness shaving instead of conventional excision of a wedge of tunica albuginea. The technique minimizes intraoperative bleeding, obviates cavernous tissue damage and improves adhesion of plicated tunical layers. Materials and Methods: Between September 1988 and September 1994, 32 patients underwent modified plication repair of chordee secondary to Peyronie's disease (26) or congenital penile deviation (6). The results were evaluated in the spring of 1996. Results: Mean age plus or minus standard deviation was 55 +/− 8.8 years for patients with Peyronie's disease and 27 +/− 6.85 years for those with congenital penile deviation. Mean duration of Peyronie's disease was 22 +/− 9 months. Eight patients complained of erectile dysfunction and penile curvature. Plication for congenital deviation (6 patients) resulted in 100% satisfaction with the surgical result. Of the 26 men with Peyronie's disease 19 (78%) reported a good to excellent outcome. With prolonged followup (1 to 5 years) 7 patients had recurrent curvature due to progression of disease, including 5 with mild curvature who were able to have intercourse, in contrast with 2 who had severe early recurrence of deformity (more than 30 degrees) within 1 year postoperatively and underwent a second modified plication with good clinical outcome. Six of 32 patients with Peyronie's disease were unable to resume satisfactory coitus with a postoperative straight penis. All 6 patients had concomitant poor erections preoperatively as shown by nocturnal penile tumescence and rigidity testing and 5 of them resumed regular intercourse with intracavernous pharmacotherapy. Conclusions: Long-term results of this modified plication demonstrate excellent clinical outcome with minimal morbidity. References 1 : Congenital curvature of the phallus: report of three cases with description of corrective operation. J. Urol.1965; 93: 230. 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Google Scholar From the Department of Urology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited ByGreenfield J, Lucas S and Levine L (2018) Factors Affecting the Loss of Length Associated With Tunica Albuginea Plication for Correction of Penile CurvatureJournal of Urology, VOL. 175, NO. 1, (238-241), Online publication date: 1-Jan-2006.GIAMMUSSO B, BURRELLO M, BRANCHINA A, NICOLOSI F and MOTTA M (2018) Modified Corporoplasty for Ventral Penile Curvature: Description of the Technique and Initial ResultsJournal of Urology, VOL. 171, NO. 3, (1209-1211), Online publication date: 1-Mar-2004.CHIEN G and ABOSEIF S (2018) Corporeal Plication for the Treatment of Congenital Penile CurvatureJournal of Urology, VOL. 169, NO. 2, (599-602), Online publication date: 1-Feb-2003.van der HORST C, MARTÍNEZ PORTILLO F, MELCHIOR D, BROSS S, ALKEN P and JUENEMANN K (2018) Polytetrafluoroethylene Versus Polypropylene Sutures for Essed-schroeder Tunical PlicationJournal of Urology, VOL. 170, NO. 2, (472-475), Online publication date: 1-Aug-2003.HATZICHRISTOU D, HATZIMOURATIDIS K, APOSTOLIDIS A, TZORTZIS V, BEKOS A and IOANNIDIS E (2018) CORPOROPLASTY USING TUNICA ALBUGINEA FREE GRAFTS FOR PENILE CURVATURE: SURGICAL TECHNIQUE AND LONG-TERM RESULTSJournal of Urology, VOL. 167, NO. 3, (1367-1370), Online publication date: 1-Mar-2002.DECTER R (2018) CHORDEE CORRECTION BY CORPORAL ROTATION: THE SPLIT AND ROLL TECHNIQUEJournal of Urology, VOL. 162, NO. 3 Part 2, (1152-1154), Online publication date: 1-Sep-1999.PEROVIC S, DJORDJEVIC M and DJAKOVIC N (2018) A NEW APPROACH TO THE TREATMENT OF PENILE CURVATUREJournal of Urology, VOL. 160, NO. 3 Part 2, (1123-1127), Online publication date: 1-Sep-1998. Volume 157Issue 4April 1997Page: 1288-1291 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information Jamil Rehman More articles by this author Alexandru Benet More articles by this author Lloyd S. Minsky More articles by this author Arnold Melman More articles by this author Expand All Advertisement PDF DownloadLoading ...