Ahmadnia Hassan, Kamalati Ali, Younesi Rostami Mehdi, Imani Mohammad Mehdi, Asadpour Amir Abbas, Hariri Mohammad Kazem
Department of Urology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran;
Department of Urology, Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran;
World J Plast Surg. 2016 Jan;5(1):62-6.
Current surgical treatments in Peyronie's disease are accompanied by complications such as penile shortening, loss of sensation, erectile dysfunction and recurrence of disease. The aim of this study was the evaluation of clinical results of intracavernosal plaque excision in Peyronie's disease.
The operation was performed on 35 men. It was consisted of incising the tunica albuginea parallel to the plaque and through this incision, and the plaque was removed from the inside surface without excision or replacing the underlying tunica albuginea by grafts. All patients were evaluated before and periodically within 12 months after the surgery with measurement of penile length, curvature angle in the rigidity phase, and sexual satisfaction.
The mean age of patients was 51.4±5.3 years (range 42-59 years). The angle of penile curvature was 25-45° (mean=35°). Thirty patients (86%) obtained a nearly complete straightening of penis. All patients restored their previous penile length without any disorder of sensation within the glans penis and expressed improvement of sexual activity.
Intracavernosal plaque excision is a simple, easy and minimal invasive method that does not result in penile shortening, loss of sensation or erectile dysfunction. In properly selected patients, this technique can lead to acceptable elimination of penile curvature and sexual satisfaction.
佩罗尼氏病目前的外科治疗伴随着诸如阴茎缩短、感觉丧失、勃起功能障碍和疾病复发等并发症。本研究的目的是评估佩罗尼氏病海绵体内斑块切除术的临床结果。
对35名男性进行了该手术。手术包括平行于斑块切开白膜，并通过该切口从内表面移除斑块，不切除或用移植物替换下方的白膜。所有患者在手术前以及术后12个月内定期接受评估，测量阴茎长度、勃起期的弯曲角度和性满意度。
患者的平均年龄为51.4±5.3岁（范围42 - 59岁）。阴茎弯曲角度为25 - 45°（平均 = 35°）。30名患者（86%）阴茎几乎完全伸直。所有患者恢复了之前的阴茎长度，龟头感觉无任何异常，并表示性活动有所改善。
海绵体内斑块切除术是一种简单、易行且微创的方法，不会导致阴茎缩短、感觉丧失或勃起功能障碍。在适当选择的患者中，该技术可使阴茎弯曲得到可接受的矫正并提高性满意度。
