Simultaneous Penile Lengthening and Penile Prosthesis Implantation in Patients with Peyronie's Disease, Refractory Erectile Dysfunction, and Severe Penile Shortening

Authors

  • Salvatore Sansalone MD,

    Corresponding author
    1. Department of Urology, School of Medicine Tor Vergata University of Rome, Rome, Italy
      Salvatore Sansalone, MD, Senior Lecturer in Urology, Policlinico di Tor Vergata, University of Rome, Viale Oxford 81, 00133 Rome, Italy. Tel: +(39) 3471792019; Fax: +39 0620902975; E-mail: salvatore.sansalone@yahoo.it
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    • Both authors have contributed equally to the production of this article.

  • Giulio Garaffa MD,

    1. St Peter's Andrology, University College London Hospitals, London, UK and Broomfield Hospital, Chelmsford, UK
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    • Both authors have contributed equally to the production of this article.

  • Rados Djinovic MD, PhD,

    1. Department of Urology, School of Medicine, Serbian Academy of Science and Arts, University of Belgrade, Belgrade, Serbia
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  • Paulo Egydio MD,

    1. Urology Institute, São Paulo, Brazil
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  • Giuseppe Vespasiani MD,

    1. Department of Urology, School of Medicine Tor Vergata University of Rome, Rome, Italy
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  • Roberto Miano MD,

    1. Department of Urology, School of Medicine Tor Vergata University of Rome, Rome, Italy
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  • Carla Loreto MD,

    1. Department of Biomedical Sciences, University of Catania, Italy
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  • David J Ralph BSc, MS, FRCS(Urol)

    1. St Peter's Andrology, University College London Hospitals, London, UK and Broomfield Hospital, Chelmsford, UK
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Salvatore Sansalone, MD, Senior Lecturer in Urology, Policlinico di Tor Vergata, University of Rome, Viale Oxford 81, 00133 Rome, Italy. Tel: +(39) 3471792019; Fax: +39 0620902975; E-mail: salvatore.sansalone@yahoo.it

ABSTRACT

Introduction.  Due to loss of length, patients who had penile prosthesis implantation for Peyronie's disease (PD) show a statistically significant reduction in their levels of satisfaction when compared with the general implant population.

Aim.  The aim of this study is to report our experience of penile lengthening with circumferential graft during penile prosthesis implantation in patients with PD and severe penile shortening.

Methods.  Between March 2006 and February 2008, 23 patients with PD, refractory erectile dysfunction, and severe penile shortening underwent penile lengthening with circumferential graft and concomitant implantation of an inflatable penile prosthesis.

Main Outcome Measures.  Surgical outcome and complications have been recorded during postoperative follow-up. Patients' satisfaction has been assessed 6 months postoperatively with the administration of the modified Erectile Dysfunction Index of Treatment Satisfaction (EDITS) questionnaire.

Results.  After an average follow-up of 22 months (range 6–36), 20 patients attended all the postoperative follow-up visits and returned the EDITS questionnaire. An average length gain of 2.8 cm (range 2.2–4.5) was recorded, and all patients were able to cycle the device and engage in penetrative sexual intercourse. Patient recorded complications included diminished glans sensitivity in four (20%) and persistent dorsal curvature of less than 15° in three (15%). Overall, 18 patients (90%) were satisfied with the cosmetic and functional result of surgery.

Conclusion.  Penile lengthening with circumferential graft during penile prosthesis implantation in patients with PD represents a safe and reproducible technique that yields higher satisfaction rates than penile prosthesis implantation alone in patients with severe penile shortening. Sansalone S, Garaffa G, Djinovic R, Egydio P, Vespasiani G, Miano R, Loreto C, and Ralph DJ. Simultaneous penile lengthening and penile prosthesis implantation in patients with Peyronie's disease, refractory erectile dysfunction, and severe penile shortening. J Sex Med 2012;9:316–321.

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