Penile Dermal Flap in Patients With Peyronie's Disease: Long-Term Results

Alchiede Simonato, Andrea Gregori, Virginia Varca, Fabio Venzano, Aldo Franco De Rose, Carlo Ambruosi, Marco Esposito, Giorgio Carmignani

Research output: Contribution to journalArticle

Abstract

Purpose: In 1995 a penile dermal flap was described as an ideal operation for penile curvature due to Peyronie's disease. We report our experience with penile dermal flaps in patients with penile curvature due to Peyronie's disease. Materials and Methods: Between January 2001 and May 2004, 26 potent white men with Peyronie's disease underwent corporoplasty with a penile dermal flap. They were evaluated at 3, 6 and 12 months, and yearly thereafter by determination of penile length changes and residual curvature, and the International Index of Erectile Function-5. Results: At the maximum followup (mean 95 months, range 81 to 108) 22 of 26 patients (85%) were available for examination, of whom 14 (63.6%) had no residual curvature, and 2 (9.1%) and 7 (31.8%) had improved and worse erectile function, respectively. Nine patients (40.9%) had inclusion cysts at the surgical site, including 5 who underwent surgical cyst removal with no cyst recurrence. Only 9 of 22 patients (40.9%) were satisfied with the cosmetic and functional outcome. Conclusions: Despite the attractiveness of the operation to our knowledge no other experience with this technique has been reported. Our results differ from those reported, although we tried to exactly follow the original technique of dermabrading the flap with sandpaper. Based on these results we abandoned the penile dermal flap in patients with Peyronie's disease.

Original languageEnglish
Pages (from-to)1065-1068
Number of pages4
JournalJournal of Urology
Volume183
Issue number3
DOIs
Publication statusPublished - Mar 2010

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Keywords

  • complications
  • penile induration
  • penis
  • reconstructive surgical procedures
  • skin transplantation

ASJC Scopus subject areas

  • Urology

Cite this

Simonato, A., Gregori, A., Varca, V., Venzano, F., De Rose, A. F., Ambruosi, C., Esposito, M., & Carmignani, G. (2010). Penile Dermal Flap in Patients With Peyronie's Disease: Long-Term Results. Journal of Urology, 183(3), 1065-1068. https://doi.org/10.1016/j.juro.2009.11.020