Efficiency evaluation of intracavernosal excision of the plaque in the treatment of Peyronie?s disease
Article published in Urologia Polska 2005/58/2.
Barbara Darewicz, Jacek Kudelski, Janusz Darewicz, Tomasz Goł±bek
- Klinika Urologii Akademii Medycznej w Białymstoku
Kierownik kliniki: dr hab. Barbara Darewicz
penis, Peyronie's disease, intracavernosal plaque excision, operative treatment
- introduction and objective
- The paper presents results of the surgical method of treating Peyronie's disease consisting in intracavernosal excision of the plaque according to Darewicz method.
- material and method
- The operation was performed on 19 men aged 32-66 years (mean 48,3). The duration of the disease was from 14 to 38 months (mean 22 months). The patients were in stable, chronic phase of the disease, after inefficacy of pharmacotherapy. They didn't complain of pain or erectile dysfunction. The angle of penile curvature was 30o to 70o. The sizes of plaque measured with ultrasound were from 0,5 -1,5 cm width and 1,5-4 cm length. Fourteen (73,9%) patients complained of impaired sexual activity because of penile deformity making intercourse difficult and in 4 (21%) it was prevented by marked curvature. Evaluation of the quality of life score (QoL) was mean 4,42 points.
- We didn't notice any intraoperative complication. Follow-up examinations after 3, 6 and 12 months after operation revealed normal, painless erection in all the patients. In 3 (15,8%) intorcourse was impaired only by persistent penile curvature of over 20o. Mean QoL score-1,21 points
- Intracavernosal plaque excision according to Darewicz method is a less invasive than methods demanding suplementation of tunica albuginea defect using so far. In our opinion it is easier to perform and shorts time of operation than the operative methods in the treatment of Peyronie's disease applied to date. It does not result in a shortening of the penis, loss of sensation or erectile dysfunction. It makes improvement in the QoL of the patients treated.
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