Objective: In 2010 we proposed an original lengthening technique for end stage Peyronie’s disease (PD) with severe shortening of the penis, called “The Sliding technique”. The aim of this study is to assess the surgical outcome and the patients’ satisfaction about this procedure after 2 years of experience. Methods: 7 patients affected by PD, severe shortening of the penis, erectile dysfunction and curvature of the shaft < 30° were recruited from June 2010 to August 2012. All the procedures were performed by a three surgeon staff and under spinal anaesthesia. The “Sliding Technique”, a new lengthening surgical procedure based on a ventrodorsal incision of the tunica albuginea, penile prosthesis implantation and double dorsal-ventral patch grafting, was performed. We implanted a three-component penile prosthesis in 5 cases (AMS 700 CX) and a non-infl atable concealable prosthesis in 2 cases (AMS Spectra). Results: In our patients this procedure has allowed us to obtain an average real lengthening of the penis of 3.5 cm. The mean operative time was 2 hours and 50 min. No major intraoperative neither postoperative complications (ischemia / necrosis of the glans) were detected. One patient, as a result of a malfunction of the scrotal pump, complained a shortening of the penis of about 1 cm as a consequence of the retraction of the patch. The IIEF, at a mean follow-up period of about 1 year, is 60.8, while the EDITS is 51. Conclusion: The “sliding technique” is a reliable and safe procedure to treat end-stage PD with severe shortening of the penis

THE “SLIDING TECHNIQUE” FOR THE ENDSTAGE PEYRONIE’S DISEASE WITH SEVERE SHORTENING OF THE PENIS: SURGICAL OUTCOMES AND PATIENTS’ SATISFACTION AFTER 2 YEARS OF EXPERIENCE

ROLLE, Luigi;CERUTI, Carlo;FALCONE, MARCO;DESTEFANIS, Paolo Giuseppe;FONTANA, Dario
2012-01-01

Abstract

Objective: In 2010 we proposed an original lengthening technique for end stage Peyronie’s disease (PD) with severe shortening of the penis, called “The Sliding technique”. The aim of this study is to assess the surgical outcome and the patients’ satisfaction about this procedure after 2 years of experience. Methods: 7 patients affected by PD, severe shortening of the penis, erectile dysfunction and curvature of the shaft < 30° were recruited from June 2010 to August 2012. All the procedures were performed by a three surgeon staff and under spinal anaesthesia. The “Sliding Technique”, a new lengthening surgical procedure based on a ventrodorsal incision of the tunica albuginea, penile prosthesis implantation and double dorsal-ventral patch grafting, was performed. We implanted a three-component penile prosthesis in 5 cases (AMS 700 CX) and a non-infl atable concealable prosthesis in 2 cases (AMS Spectra). Results: In our patients this procedure has allowed us to obtain an average real lengthening of the penis of 3.5 cm. The mean operative time was 2 hours and 50 min. No major intraoperative neither postoperative complications (ischemia / necrosis of the glans) were detected. One patient, as a result of a malfunction of the scrotal pump, complained a shortening of the penis of about 1 cm as a consequence of the retraction of the patch. The IIEF, at a mean follow-up period of about 1 year, is 60.8, while the EDITS is 51. Conclusion: The “sliding technique” is a reliable and safe procedure to treat end-stage PD with severe shortening of the penis
2012
XV ESSM Congress
Amsterdam
dicembre 2012
9
s 5
308
308
Rolle L; Timpano M; Ceruti C; Sedigh O; Falcone M; Galletto E; Destefanis P; Preto M; Fontana D
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2318/140192
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