Surgical Treatment Of Severe Peyronie's Disease For Maximum Penile Length And Girth Gain

Main Category: Urology / Nephrology
Article Date: 02 Jul 2008 - 4:00 PDT

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ORLANDO, FL (UroToday.com) - This presentation from Dr. Paulo Egydio, et al., from Serbia generated perhaps the most discussion of all of the abstracts at the session. This abstract dealt with the surgical treatment of severe Peyronie's disease with circumferential tunical resection and grafting with cadaveric pericardium.

The technique involves penile degloving, elevation of the entire dorsal neurovascular bundle, circumferential removal of diseased tunical tissue, and, in some cases, complete disassembly of the glans cap from the cavernosal bodies. Mean age of the patient was 55 years, mean curvature was 74 degrees, and mean follow-up was 11 months. The goal of this radical surgery was to regain some of the length lost by the severe curvature and this was accomplished with a mean length gain of 3.4 cm.

No patient reported loss of erectile function, glans sensation or sensitivity - some in attendance found this difficult to believe which led to lively discussion.

Presented by Paulo Egydio, MD, et al., at the Annual Meeting of the American Urological Association (AUA) - May 17 - 22, 2008. Orange County Convention Center - Orlando, Florida, USA.

Reported by UroToday.com Contributing Editor Michael J. Metro, MD

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