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• W33807737 abstract "No AccessJournal of Urology1 Sep 1991Venogenic Impotence Following Dermal Graft Repair for Peyronie’s Disease Bruce L. Dalkin, and Michael F. Carter Bruce L. DalkinBruce L. Dalkin More articles by this author , and Michael F. CarterMichael F. Carter More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)37941-7AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Peyronie’s plaque excision with dermal grafting generally offers good cosmetic results for patients who require surgical intervention for Peyronie’s disease. However, postoperative impotence has been reported in 12 to 100% of such patients. The mechanism of impotence in this setting is not well defined. We present 3 men who had venogenic impotence after plaque excision and dermal grafting for Peyronie’s disease. One patient has subsequently responded well to dorsal vein ligation, 1 has chosen an effective nonoperative method of management and 1 continues to consider the options. We report venous leak as an organic cause of impotence after plaque excision and dermal grafting for Peyronie’s disease, and its successful management by dorsal vein ligation. The implications of these findings in the surgical management of Peyronie’s disease are discussed. © 1991 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByAntonini G, De Berardinis E, Del Giudice F, Busetto G, Lauretti S, Fragas R, Chung B, Conti S, Giannarelli D, Sperduti I, Gross M and Perito P (2018) Inflatable Penile Prosthesis Placement, Scratch Technique and Postoperative Vacuum Therapy as a Combined Approach to Definitive Treatment of Peyronie’s DiseaseJournal of Urology, VOL. 200, NO. 3, (642-647), Online publication date: 1-Sep-2018.Badawy H and Morsi H (2008) Long-Term Followup of Dermal Grafts for Repair of Severe Penile CurvatureJournal of Urology, VOL. 180, NO. 4S, (1842-1845), Online publication date: 1-Oct-2008.HATZICHRISTOU D, HATZIMOURATIDIS K, APOSTOLIDIS A, TZORTZIS V, BEKOS A and IOANNIDIS E (2018) CORPOROPLASTY USING TUNICA ALBUGINEA FREE GRAFTS FOR PENILE CURVATURE: SURGICAL TECHNIQUE AND LONG-TERM RESULTSJournal of Urology, VOL. 167, NO. 3, (1367-1370), Online publication date: 1-Mar-2002.Monga M, Cosgrove D, Zupkas P, Jain A, Kasyan A, Wilkes N and Rajasekaran M (2018) Small Intestinal Submucosa As A Tunica Albuginea Graft MaterialJournal of Urology, VOL. 168, NO. 3, (1215-1221), Online publication date: 1-Sep-2002.HAUCK E, BSCHLEIPFER T, DIEMER T, MANNING M, SCHROEDER-PRINTZEN I and WEIDNER W (2018) 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” ApproachJournal of Urology, VOL. 167, NO. 5, (2070-2073), Online publication date: 1-May-2002.YURKANIN J, DEAN R and WESSELLS H (2018) EFFECT OF INCISION AND SAPHENOUS VEIN GRAFTING FOR PEYRONIE’S DISEASE ON PENILE LENGTH AND SEXUAL SATISFACTIONJournal of Urology, VOL. 166, NO. 5, (1769-1773), Online publication date: 1-Nov-2001.LINDGREN B, REDA E, LEVITT S, BROCK W and FRANCO I (2018) SINGLE AND MULTIPLE DERMAL GRAFTS FOR THE MANAGEMENT OF SEVERE PENILE CURVATUREJournal of Urology, VOL. 160, NO. 3 Part 2, (1128-1130), Online publication date: 1-Sep-1998.BRANNIGAN R, KIM E, OYASU R and MCVARY K (2018) COMPARISON OF TUNICA ALBUGINEA SUBSTITUTES FOR THE TREATMENT OF PEYRONIE'S DISEASEJournal of Urology, VOL. 159, NO. 3, (1064-1068), Online publication date: 1-Mar-1998.Kim E and McVary K (2018) Long-term Followup of Treatment of Peyronie's Disease with Plaque Incision, Carbon Dioxide Laser Plaque Ablation and Placement of a Deep Dorsal Vein Patch GraftJournal of Urology, VOL. 153, NO. 6, (1843-1846), Online publication date: 1-Jun-1995.Ganabathi K, Dmochowski R, Zimmern P and Leach G (2018) Peyronie's Disease: Surgical Treatment Based on Penile RigidityJournal of Urology, VOL. 153, NO. 3, (662-666), Online publication date: 1-Mar-1995.Brock G, Nunes L, von Heyden B, Martinez-Piñeiro L, Hsu G and Lue T (2018) Can a venous patch graft be a substitute for the tunica albuginea of the penis?Journal of Urology, VOL. 150, NO. 4, (1306-1309), Online publication date: 1-Oct-1993.Wespes E and Schulman C (2018) Venous Impotence: Pathophysiology, Diagnosis and TreatmentJournal of Urology, VOL. 149, NO. 5 Part 2, (1238-1245), Online publication date: 1-May-1993.Faerber G and Konnak J (2018) Results of Combined Nesbit Penile Plication with Plaque Incision and Placement of Dacron Patch in Patients with Severe Peyronie’s DiseaseJournal of Urology, VOL. 149, NO. 5 Part 2, (1319-1320), Online publication date: 1-May-1993.Benson G (2018) Peyronie’s DiseaseJournal of Urology, VOL. 149, NO. 5 Part 2, (1326-1326), Online publication date: 1-May-1993. Volume 146Issue 3September 1991Page: 849-851 Advertisement Copyright & Permissions© 1991 by The American Urological Association Education and Research, Inc.Keywordspenile indurationimpotenceMetricsAuthor Information Bruce L. Dalkin More articles by this author Michael F. Carter More articles by this author Expand All Advertisement PDF DownloadLoading ..." @default.
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