Luciano Giuliani Department of Urology, University of Genova, Genova, Italy.
J Urol. 2010 Mar;183(3):1065-8. doi: 10.1016/j.juro.2009.11.020. Epub 2010 Jan 25.
In 1995 a penile dermal flap was described as an ideal operation for penile curvature due to Peyronie's disease. We report our experience with penile dermal flaps in patients with penile curvature due to Peyronie's disease.
Between January 2001 and May 2004, 26 potent white men with Peyronie's disease underwent corporoplasty with a penile dermal flap. They were evaluated at 3, 6 and 12 months, and yearly thereafter by determination of penile length changes and residual curvature, and the International Index of Erectile Function-5.
At the maximum followup (mean 95 months, range 81 to 108) 22 of 26 patients (85%) were available for examination, of whom 14 (63.6%) had no residual curvature, and 2 (9.1%) and 7 (31.8%) had improved and worse erectile function, respectively. Nine patients (40.9%) had inclusion cysts at the surgical site, including 5 who underwent surgical cyst removal with no cyst recurrence. Only 9 of 22 patients (40.9%) were satisfied with the cosmetic and functional outcome.
Despite the attractiveness of the operation to our knowledge no other experience with this technique has been reported. Our results differ from those reported, although we tried to exactly follow the original technique of dermabrading the flap with sandpaper. Based on these results we abandoned the penile dermal flap in patients with Peyronie's disease.
1995 年，人们描述了一种阴茎皮瓣，认为其是治疗因 Peyronie 病导致的阴茎弯曲的理想手术方法。我们报告了我们在因 Peyronie 病导致的阴茎弯曲患者中应用阴茎皮瓣的经验。
2001 年 1 月至 2004 年 5 月，26 名勃起功能正常的白种男性因 Peyronie 病接受了阴茎皮瓣 corporoplasty 手术。术后 3、6 和 12 个月，以及此后每年通过阴茎长度变化和残余弯曲度的测定以及国际勃起功能指数-5（International Index of Erectile Function-5，IIEF-5）评估对患者进行评估。
在最长随访（平均 95 个月，范围 81 至 108 个月）时，26 例患者中有 22 例（85%）可接受检查，其中 14 例（63.6%）无残余弯曲，2 例（9.1%）和 7 例（31.8%）的勃起功能分别改善和恶化。9 例患者（40.9%）手术部位有包涵囊肿，其中 5 例接受了手术囊肿切除，无囊肿复发。仅有 22 例患者中的 9 例（40.9%）对美容和功能结果满意。
尽管该手术对我们来说很有吸引力，但据我们所知，没有其他关于该技术的经验报道。尽管我们试图严格遵循用砂纸打磨皮瓣的原始技术，但我们的结果与报告的结果不同。基于这些结果，我们在 Peyronie 病患者中放弃了阴茎皮瓣。
