CODE: 15.3 - The surgical treatment of Peyronie disease
Article published in Urologia Polska 2006/59/Suplement 1.

authors

Konrad Jersak, Jerzy Niemirowicz, Piotr Kowalski, Andrzej Kacprzak, Piotr Kaczmarek, Jarosław Bobiński

ZOZ MSWiA w Łodzi

summary

Introduction. Peyronie disease (PD) occurs in about 3% of men. The etiology of PD remains unknown. The probable causes are injuries associated with sexual activity or some genetic and autoimmunological factors. The treatment of PD includes nonsurgical oral or local drug administration as well as surgical therapy. In surgical treatment Nesbit operation and its modifications, operation with plaque excision and autogenic or artificial graft placement, are applied. In case of extensive occupation of corpora cavernosa with accompanying erectile dysfunction, placement of a penile prosthesis can be used. The surgical procedure is usually administrated when there is no remission after pharmacological treatment.

Objectives. The aim of the report is to present the following stages in surgical therapy which point is to excise the plaque from dorsal part of the corpora cavernosa and filling the tissue defect with the flap of Pelvicol.

Materials and methods. The film shows the operation of fibrous plaque excision from dorsal part of both corpora cavernosa and filling the tissue defect with the flap of Pelvicol. The surgical intervention was performed on 29-year-old man who had been administrated medical preparations for half of a year without any improvement. The film was made in DVD technique and lasts about 9 minutes.

Results. The patient was discharged four days after the operation. After 2 months he took up sexual intercourse. Half year after the operation there is still palpable hardening on the dorsal part of penile shaft and it is slightly up curved during erection.