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• W2025073990 abstract "No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 May 2002Long-Term Results of Plaque Thinning with Carbide Burs, Small Incisions and Venous Grafting for Correcting Complex Penile Curvature in Peyronie’s Disease: Poor Results of an “Ideal” Approach EKKEHARD W. HAUCK, THOMAS BSCHLEIPFER, THORSTEN DIEMER, MARTINA MANNING, IMMO SCHROEDER-PRINTZEN, and WOLFGANG WEIDNER EKKEHARD W. HAUCKEKKEHARD W. HAUCK More articles by this author , THOMAS BSCHLEIPFERTHOMAS BSCHLEIPFER More articles by this author , THORSTEN DIEMERTHORSTEN DIEMER More articles by this author , MARTINA MANNINGMARTINA MANNING More articles by this author , IMMO SCHROEDER-PRINTZENIMMO SCHROEDER-PRINTZEN More articles by this author , and WOLFGANG WEIDNERWOLFGANG WEIDNER More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)65086-0AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluated the long-term results of plaque thinning by carbide burs, small transverse incisions and venous grafting for correcting complex penile curvature in patients with Peyronie’s disease. Materials and Methods: A total of 13 patients with Peyronie’s disease and complex penile curvature received plaque thinning by carbide burs equipped with a fraise, small plaque incision and venous grafting. All patients were available for long-term followup at a mean of 29 months. Preoperatively the mean dorsal curvature angle was 73 degrees with an additional malrotation in 4 patients. Followup consisted of a standardized interview and 3-dimensional photo documentation during erection. Results: Although penile straightening was achieved intraoperatively, dorsal curvature (mean 35 degrees) recurred in 8 men, of whom 3 noticed this deterioration after a longer period. Penile shortening (mean 3.3 cm.) occurred in 7 patients, and decreased rigidity during intercourse occurred in 4. Conclusions: Hypothetically, a combined technique of thinning, incision and grafting seems to be an ideal surgical approach for correction of complex penile curvatures in Peyronie’s disease without plaque excision. Although the penis had been completely straightened intraoperatively, severe dorsal curvatures recurred and significant penile shortening became obvious in more than half of the patients. Manipulation of the plaque may be associated with activation of the disease, with all of the risks of recurrence and deterioration. Due to the poor results of the thinning procedures, we stopped using this surgical approach and now prefer a combination of small incisions and grafting only. References 1 : Fibrin deposition in Peyronie’s disease plaque. J Urol1997; 157: 311. Link, Google Scholar 2 : A surgical algorithm for the treatment of Peyronie’s disease. J Urol1997; 158: 2149. Link, Google Scholar 3 : Peyronie’s disease. Ann Plast Surg1987; 18: 122. Google Scholar 4 : Venogenic impotence following dermal graft repair for Peyronie’s disease. J Urol1991; 146: 849. Link, Google Scholar 5 : Preoperative evaluation of erectile dysfunction with dynamic infusion cavernosometry/cavernosography in correlation with postoperative results. J Urol1993; 150: 1138. 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Urology1985; 25: 582. Google Scholar 20 : Modified surgical technique to correct congenital and acquired penile curvature. Eur Urol1991; 20: 107. Google Scholar 21 : Proposal: trauma as the cause of the Peyronie’s lesion. J Urol1997; 157: 285. Link, Google Scholar 22 : Peyronie’s disease and its management. In: Clinical Urology.. Edited by . Philadelphia: J. B. Lippincott1994: 1282. chapt. 90. Google Scholar From the Departments of Urology, Justus-Liebig University, Giessen, and Bundeswehrkrankenhaus, Ulm, Germany© 2002 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byBACKHAUS B, MÜLLER S and ALBERS P (2018) Corporoplasty for Advanced Peyronie’s Disease Using Venous And/or Dermis Patch Grafting: New Surgical Technique And Long-term Patient SatisfactionJournal of Urology, VOL. 169, NO. 3, (981-984), Online publication date: 1-Mar-2003. Volume 167Issue 5May 2002Page: 2070-2073 Advertisement Copyright & Permissions© 2002 by American Urological Association, Inc.Keywordspenile indurationpenile diseasesMetricsAuthor Information EKKEHARD W. HAUCK More articles by this author THOMAS BSCHLEIPFER More articles by this author THORSTEN DIEMER More articles by this author MARTINA MANNING More articles by this author IMMO SCHROEDER-PRINTZEN More articles by this author WOLFGANG WEIDNER More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W2025073990 title "Long-Term Results of Plaque Thinning with Carbide Burs, Small Incisions and Venous Grafting for Correcting Complex Penile Curvature in Peyronie’s Disease: Poor Results of an “Ideal” Approach" @default.
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