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Abstract

Volume 13, Issue 6 (November 2011) 13, 842–845; 10.1038/aja.2011.42

Long-term results of the surgical treatment of Peyronie’s disease with Egydio’s technique: a European multicentre study

Salvatore Sansalone1, Giulio Garaffa2, Rados Djinovic3, Stefano Pecoraro4, Mauro Silvani5, Guido Barbagli6, Alessandro Zucchi7, Giuseppe Vespasiani1 and Carla Loreto8

1 Department of Urology, School of Medicine Tor Vergata University of Rome, Rome 00133, Italy
2 St Peter's Andrology, University College London Hospitals, London W1G 6BJ, UK
3 Department of Urology, School of Medicine, Serbian Academy of Science and Arts, University of Belgrade, Belgrade 11000, Serbia
4 Department of Nephro-Urology, Malzoni Medical Center Avellino, Avellino 83100, Italy
5 Department of Urology, General Hospital, Biella 13900, Italy
6 Center for Reconstructive Urethral Surgery, Arezzo 52100, Italy
7 Department of Urology and Andrology, University of Perugia, Perugia 06123, Italy
8 Department of Bio-Medical Sciences, Anatomy Section, University of Catania, Catania 95100, Italy

Correspondence: Dr S Sansalone, (salvatore.sansalone@yahoo.it)

Received 11 January 2011; Revised 10 February 2011; Accepted 30 March 2011; Published online 11 July 2011

Abstract

The long-term outcomes of 157 patients affected by Peyronie's disease (PD) who underwent penile straightening with Egydio's technique between January 2004 and December 2008 are reported. Only patients with PD who were stable for at least 6-12 months prior to surgery were enrolled in this study. Preoperative assessment included a dynamic echo colour Doppler ultrasound scan to evaluate the degree of penile deformity and the peak systolic velocity in the cavernosal arteries and an assessment of erectile function with the administration of the International Index of Erectile Function 5 (IIEF-5) questionnaire. Stretched penile length was recorded pre- and postoperatively. Surgical complications, cosmesis and sexual function, patient satisfaction and postoperative erectile function were assessed postoperatively at 3 months, 1 year and 2 years, respectively. After a median follow-up period of 20 months (range: 12-24 months), we found that mild residual curvature (12%) and glans hypoesthesia (3%) were the only causes of partial dissatisfaction. No rejection of the graft was observed. All patients recovered their ability to penetrate with no difficulty. In addition, an intraoperative average increase of 2.5 cm (range: 1.7-4.1 cm) in stretched penile length was recorded, with all patients engaging in penetrative sexual intercourse. In conclusion, this procedure represents a safe and reproducible technique for the correction of penile curvature resulting from PD and yields excellent cosmetic and functional results.

Keywords: Egydio’s technique; erectile dysfunction; graft; Peyronie’s disease

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