Novaya kontseptsiya operativnogo lecheniya bolezni Peyroni


Cite item

Full Text

Abstract

Clinical experience of the authors on patients with Peyronie's disease shows that intraplaque therapy with verapamil and interferon and a malignant course of the disease can result in shortening of the penis (4 and 1 cases were observed, respectively). The length of the penis diminished by 30 to 50%. The patients were treated with graft corporoplasty with endoprosthesis of the penis. Basing on the experience with these cases the following conclusions were made: intraplaque injections are hard to perform and can provoke progression of the disease; long-term conservative treatment for stabilization of the active stage of Peyronie's disease can lead to shortening of the penis; in malignant course of the disease and progressive shortening of the penis surgical policy is justified despite "acute" phase of the disease.

References

  1. Pryor J., Akkus E., Alter G. et al. Peyronie's disease. J. Sex. Med. 2004; 1 (1): 110-115.
  2. Ковалев В. А., Королева С. В., Буров В. Н. и др. Оперативное лечение болезни Пейрони. Урология 2006; 2: 85-87.
  3. Levine L. A., Lenting E. L. A surgical algorithm for the treatment of Peyronie's disease. J. Urol. (Baltimore) 1997; 158: 2149-2152.
  4. Levine L. A., Dimitriou R. J. A surgical algorithm for penile prosthesis placement in men with erectile failure and Peyronie's disease. Int. J. Impot. Res. 2000; 12 (3): 147-151.
  5. Mulhall J., Anderson M., Parker M. A surgical algorithm for men with combined Peyronie's disease and erectile dysfunction: functional and satisfaction outcomes. J. Sex. Med. 2005; 2 (1): 132-138.
  6. Carson C. C. Penile prosthesis implantation in the treatment of Peyronie's disease and erectile dysfunction. Int. J. Impot. Res. 2000; 12 (suppl. 4): S.122-126.
  7. Wilson S. K., Delk J. R. A new treatment for Peyronie's disease: modeling the penis over an inflatable penile prosthesis. J. Urol. (Baltimore) 1994; 152 (4): 1121-1123.
  8. Hakim L. S. et al. Guide to safe corporotomy incisions in the presence of underlying inflatable penile cylinders: results of in vitro and in vivo studies. J. Urol. (Baltimore) 1995; 155: 366- 368.
  9. Kowalczyk J. J., Mulcahy J. J. Penile curvatures and aneurysmal defects with the ultrex penile prosthesis corrected with insertion of the AMS 700 CX. J. Urol. (Baltimore) 1996; 156: 398-401.
  10. Puri K., Hellstrom W. J. G. Long-term follow-up of the indications for manual modeling vs plaque excision/grafting in men undergoing placement of inflatable penile prostheses for Peyronie's disease. J. Urol. (Baltimore) 2004; 171: 331, abstr. 1257.
  11. Reddy S., Leungwattanakij S., Sikka S. C., Hellstrom W. J. G. Extended follow-up on the use of cadaveric pericardium (Tutoplast) in the surgical management of Peyronie's disease. J. Urol. (Baltimore) 2001; 165 (suppl.): 256; abstr. 1055.
  12. Knoll L. D. Use of porcine small intestinal submucosal graft in the surgical management of tunical deficiencies with penile prosthetic surgery. J. Urol. (Baltimore) 2001; 165 (suppl.): 256, abstr. 1054.
  13. Lee E. W., Shindel A. W., Brandes S. B. Small intestinal submucosa for patch grafting after plaque incision in the treatment of Peyronie's disease. Int. Braz. J. Urol. 2008; 34 (2): 191-196; discus: 197.
  14. Austoni E., Colombo F., Romanу A. L. et al. Soft prosthesis implant and relaxing albugineal incision with saphenous grafting for surgical therapy of Peyronie's disease: a 5-year experience and long-term follow-up on 145 operated patients. Eur.Urol. 2005; 47 (2): 223-229; discus. 229.
  15. Pathak A. S., Chang J. H., Parekh A. R., Aboseif S. R. Use of rectus fascia graft for corporeal reconstruction during placement of penile implant. Urology 2005; 65: 1198-1201.
  16. Chaudhary M., Sheikh N., Asterling S. et al. Peyronie's disease with erectile dysfunction: penile modeling over inflatable penile prostheses. Urology 2005; 65 (4): 760-764.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2009 Bionika Media

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies