Department of Urology, Eberhard Karls University Tuebingen, Hoppe-Seyler-Str. 3, 72076 Tuebingen, Germany.
Asian J Androl. 2011 Mar;13(2):326-31. doi: 10.1038/aja.2010.157. Epub 2011 Jan 17.
The aim of this article is to analyse the long-term results of different surgical techniques for correction of penile deviations in Peyronie's disease. Patients who underwent surgery for a penile deviation in Peyronie's disease between 1997 and 2007 were included into this study. Cases were retrospectively analysed by chart review. The current situation was evaluated by a 16-item standardized questionnaire addressing penile straightness, sensation, length, sexual function and satisfaction. Ninety patients were contacted with a return rate of 75 (83%) evaluable questionnaires. Thirty-two patients were operated by shortening techniques (STs) with either Schroeder-Essed (n=16) or Nesbit (n=16). Forty-three were operated by a plaque in-/excision and defect covering by TachoSil method (TM). Both groups were similar regarding age (ST 56 years, TM 57 years), comorbidities, mean preoperative erection hardness score (EHS; 3.1 ST, 3.4 TM) and time of follow-up (total mean, 63 months). Preoperatively ST patients had significantly less plaques (P<0.05) and a lower deviation angle in comparison to TM patients (ST 56° versus TM 74°; P< 0.001). Still TM patients reported slightly better straightening results, but a significantly lower mean EHS (ST 3.3 versus TM 2.6; P<0.001) during the follow-up. Satisfaction rates were similar in both groups. In conclusion, both techniques revealed to be safe and sustainable successful in penile straightening with better functional outcome of patients operated by STs.
本文旨在分析不同手术技术在治疗 Peyronie 病阴茎弯曲中的长期疗效。研究纳入了 1997 年至 2007 年间因 Peyronie 病行手术矫正阴茎弯曲的患者。通过病历回顾对病例进行回顾性分析。通过 16 项标准化问卷评估当前情况，问卷内容包括阴茎的挺直度、感觉、长度、性功能和满意度。共联系了 90 名患者，回复率为 75%（83 例可评估问卷）。32 例患者采用缩短技术（ST）治疗，其中 16 例采用 Schroeder-Essed 法，16 例采用 Nesbit 法。43 例采用斑块内/切除术和 TachoSil 法（TM）覆盖缺损。两组患者的年龄（ST 56 岁，TM 57 岁）、合并症、术前勃起硬度评分（EHS；ST 3.1，TM 3.4）和随访时间（总平均 63 个月）相似。与 TM 患者相比，ST 患者术前的斑块较少（P<0.05），弯曲角度较小（ST 56°与 TM 74°；P<0.001）。然而，TM 患者的矫直效果稍好，但在随访期间的平均 EHS 较低（ST 3.3 与 TM 2.6；P<0.001）。两组患者的满意度相似。综上所述，两种技术均安全有效，可显著改善患者的阴茎弯曲，采用缩短技术的患者具有更好的功能结果。
