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Peyronie's disease. Investigation of staging, erectile failure and operative management

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Abstract

There are still diverse management options in Peyronie's disease, due to its unknown actiology, progression or remission. Types, extent and duration of operative management in this disease are subject of controversial discussion. We did complex investigations in 132 patients revealing the following items.

Diagnostic tests should include both history and physical examination and comparative X-ray and ultrasound investigations. CT is the best method to differentiate pathological lesions in the tunica albuginea. X-ray (xerography) examination demonstrates calcification of the plaque. Papaverin-hydrochloride injection is a valid method to check the extension of concomitant erectile dysfunction and shows the angulation of the penis.

Plaque excision and grafting with various materials were used initially with disappointing results (15 patients, only 20% good results). Modified corporal plication has been used subsequently with good results (54 patients, follow-up 3 years, 90% good results).

Implantation of penile prosthesis must be evaluated individually.

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References

  1. Bach, D., Brühl, P.: Induratio penis plastica. I. Klinik, Epidemiologie und Ätiologie.Urologe [B],24, 242 (1984).

    Google Scholar 

  2. Byström, J., Rubio, C.: Peyronie's disease: Clinical features and etiology.Scand. Urol. Nephrol., 10, 12 (1976).

    Google Scholar 

  3. Cohen, E. S., Schmidt, J. D., Parsons, C. L.: Peyronie's disease: Surgical experience and presentation of a proximal approach.J. Urol., 142, 740 (1989).

    PubMed  CAS  Google Scholar 

  4. Coughlin, P., Culley, C. C., Paulson, D. F.: Surgical correction of Peyronie's disease; The Nesbit procedure.J. Urol., 131, 282 (1984).

    PubMed  CAS  Google Scholar 

  5. Das, S.: Peyronie's disease: Excision and autografting with tunica vaginalis.J. Urol., 124, 818 (1980).

    PubMed  CAS  Google Scholar 

  6. Devine, C. Jr., Horton, C. E.: Surgical treatment of Peyronie's disease with a dermal graft.J. Urol., 112, 44 (1974).

    Google Scholar 

  7. Ebbehoj, J., Metz, P.: New operation for “Krummerik” penile curvature.Urology, 26, 76 (1985).

    Article  PubMed  CAS  Google Scholar 

  8. Essed, E., Schröder, F. H.: New surgical treatment for Peyronie's disease.Urology, 25, 76 (1985).

    Article  Google Scholar 

  9. Faerber, G. J., Konnak, J. W.: Results of combined Nesbit plication with plaque incision and placement of Dacron patch in patients with severe Peyronie's disease.J. Urol., 149, 1319 (1993).

    PubMed  CAS  Google Scholar 

  10. Fournier, G. R. Jr., Lue, T. F., Tanagho, E. A.: Peyronie's plaque: Surgical treatment with the carbon dioxide laser and a deep dorsal vein patch graft.J. Urol., 149, 1321 (1993).

    PubMed  Google Scholar 

  11. Fritz, T. H., Müller, S. C., Bürger, R., Hohenfellner, R.: Operative Korrektur von Penisdeviationen: Erfahrungen mit der Methode nach Nesbit und dem modifizierten Verfahren nach Schröder und Essed.Aktuel. Urol., 21, 126 (1990).

    Google Scholar 

  12. Furlow, W. L., Swenson, H. E. Jr., Lee, R. E.: Peyronie's disease: A study of its natural history and treatment with orthovoltage radiotherapy.J. Urol., 114, 69 (1975).

    PubMed  CAS  Google Scholar 

  13. Gelbhard, M. K., Hayden, B.: Expanding contractures of the tunica albuginea due to Peyronie's disease with temporalis fascia free grafts.J. Urol., 145, 772 (1991).

    Google Scholar 

  14. Gasior, B., Levine, J., Goldstein, T. R., Payton, S., Beyer, R., Krane, J.: Cavernosometric and cavernosographic findings in patients with idiopathic Peyronie's disease: Plaque associated corporal veno-occlusive dysfunction.Int. J. Impotence Res. (Suppl. 2),2, 111 (1990).

    Google Scholar 

  15. Gustafson, H., Johansson, B., Edsmyr, F.: Peyronie's disease: Experience with local treatment with Orgotein.Eur. Urol., 7, 346 (1981).

    PubMed  CAS  Google Scholar 

  16. Hanisch, H., Clotten, M., Schwartzmann, K., Boeminghaus, F.: Mikrochirurgische neuroprotektive Plaqueisolation bei Induratio penis plastica.Urologe [A],30, 249 (1991)/

    CAS  Google Scholar 

  17. Kampf, B. C.: Induratio penis plastica. Inaugural Dissertation, Bonn 1993.

  18. Kelami, A.: Autophotography in evaluation of functional penile disorders.Urology, 21, 628 (1983).

    Article  PubMed  CAS  Google Scholar 

  19. Kelami, A.: Classification of Peyronie's disease. In: Kelami, A., Pryor, J. P. (eds): Progress in Reproductive Biology and Medicine. Karger, Basel 1973, pp. 109–112.

    Google Scholar 

  20. Lopez, J. A., Jarow, J. P.: Duplex ultrasound findings in men with Peyronie's disease.Urol. Radiol., 12 (4), 199 (1991).

    PubMed  CAS  Google Scholar 

  21. Ludwig, G.: Evaluation of conservative therapeutic approaches to Peyronie's disease (Fibrotic induration of the penis).Urol. Int., 47, 236 (1991).

    Article  PubMed  CAS  Google Scholar 

  22. Metz, P., Ebbehoj, J., Uhrenhold, A., Wagner, G.: Peyronie's disease and erectile failure.J. Urol., 130, 1103 (1983).

    PubMed  CAS  Google Scholar 

  23. Moll, V., Becht, E., Ziegler, M.: Operative Therapie der kongenitalen und erworbenen Penisdeviation mittels Raffplastik.Aktuel. Urol., 23, 1 (1992).

    Article  Google Scholar 

  24. Mufti, G. R., Atchinson, M., Bramwell, S. P., Paterson, P. J., Scott, R.: Corporal plication for surgical correction of Peyronie's disease.J. Urol., 144, 281 (1990).

    PubMed  CAS  Google Scholar 

  25. Musante, F., Zambelli, S., Placentino, A.: Computerized tomography in Peyronie's disease. Clinical radiological comparison.Radiol. Med., 74 (4), 308 (1987).

    CAS  PubMed  Google Scholar 

  26. Nesbit, R. M.: Congenital curvature of the phallus: Report of three cases with description of corrective operation.J. Urol., 93, 230 (1965).

    PubMed  CAS  Google Scholar 

  27. Pryor, J. P.: Peyronie's disease and impotence.Acta Urol. Belg., 56, 317 (1988).

    PubMed  CAS  Google Scholar 

  28. Rompel, R., Weidner, W.: Induratio penis plastica.Fertilität, 7, 90 (1991).

    Google Scholar 

  29. Schubert, G. E.: Pathomorphologische Aspekte der Induratio penis plastica. In: Weissbach, L., Boedefeld, E. A., Widmann, T. (eds). IPP Symposium Bonn. M. Brimberg, Aachen 1985, pp. 23–38.

    Google Scholar 

  30. Sheplev, P., Schubert, J.: Induratio penis plastica.Z. Urol. Nephrol., 79, 489 (1986).

    Google Scholar 

  31. Sheplev, P., Schubert, J.: Die Wertigkeit nicht invasiver Diagnostikverfahren zur Klassifikation der Induratio penis plastica.Radiol. Diagn., 28, 363 (1987).

    CAS  Google Scholar 

  32. Schwarzlose, A., Witt, K. H., Kollwitz, A. A.: Zur Behandlung der Induratio penis plastica mit Ultraphonophorese (Ultraschallbehandlung).Aktuel. Urol., 19, 195 (1988).

    Google Scholar 

  33. Smith, B. H.: Subclinical Peyronie's disease.Amer. J. Clin. Pathol., 52, 385 (1969).

    CAS  Google Scholar 

  34. Weidner, W., Weiske, W. H., Schroeder-Printzen, I., Ludwig, G., Ringert, R. H.: Sexual dysfunction in Peyronie's disease—An analysis of 222 patients without previous local plaque therapy.J. Urol., 149 (4), 354A (1993).

    Google Scholar 

  35. Vandeberg, J. S., Devine, C. J., Horton, C. E., Somers, G. L., Wright, M. S. Jr., Lefell, D. M., Dawson, S. H., Gleischmann, M., Row, J.: Peyronie's disease: An electron microscopic study.J. Urol., 126, 333 (1981).

    CAS  Google Scholar 

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  1. Department of Urology, Friedrich Schiller University of Jena, F. R. Germany

    St. Kümmerling & J. Schubert

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  1. St. Kümmerling
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  2. J. Schubert
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Kümmerling, S., Schubert, J. Peyronie's disease. Investigation of staging, erectile failure and operative management. International Urology and Nephrology 27, 629–637 (1995). https://doi.org/10.1007/BF02564751

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