Penile prosthesis implantation through subcoronal approach with graft-free corporoplasty in patients with Peyronie disease with concomitant erectile dysfunction


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Abstract

Penile prosthesis implantation is a treatment choice in patients with erectile dysfunction (ED) and concomitant penile curvature due to Peyronie disease. Methods for correction of penile deformity during prosthesis implantation are still under discussion, considering variable efficiency and higher risk of complications. Our aim was to describe clinical case which represent our first experience of performing multiple corporal incisions through innovative subcoronoral approach without subsequent substitution of tunica albuginea. As a result of graft-free technique an effective penile straightening was achieved after three-piece prosthesis implantation with good long-term functional and cosmetic results. The first experience of graft-free technique of corporotomy during penile prosthesis implantation through subcoronal approach suggests its potential efficacy and safety in patients with a combination of ED and Peyronie disease.

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About the authors

N. D Akhvlediani

A.I. Evdokimov Moscow State University of Medicine and Dentistry; Clinical medical center of A.I. Evdokimov Moscow State University of Medicine and Dentistry

Email: nikandro@mail.ru
MD, professor at the Department of Urology

D. Yu Pushkar

A.I. Evdokimov Moscow State University of Medicine and Dentistry

corresponding member of RAS, MD, professor, Head of the Department of Urology

A. N Bernikov

A.I. Evdokimov Moscow State University of Medicine and Dentistry; Clinical medical center of A.I. Evdokimov Moscow State University of Medicine and Dentistry

Ph.D., Head ofthe Urologic Department of University Clinic

A. S Chernushenko

Clinical medical center of A.I. Evdokimov Moscow State University of Medicine and Dentistry

urologist at the Urologic Department ofUniversity Clinic

I. A Reva

Clinical medical center of A.I. Evdokimov Moscow State University of Medicine and Dentistry

Ph.D., urologist at the Urologic Department of University Clinic

References

  1. Reddy R.S., McKibben M.J., Fuchs J.S., Shakir N., Scott J., Morey A.F. Plication for Severe Peyronie’s Deformities Has Similar Long-Term Outcomes to Milder Cases. J Sex Med. 2018;15(10):1498-1505.
  2. Paulis G., Romano G., Paulis A. Prevalence, psychological impact, and risk factors of erectile dysfunction in patients with Peyronie’s disease: a retrospective analysis of 309 cases. Res Rep Urol. 2016;18(8):95-103.
  3. Kadioglu A., Akman T., Sanli O. Surgical treatment of Peyronie’s disease: a critical analysi. Eur Urol. 2006;50(2):235-248.

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