Department of Urology, University of Alabama at Birmingham, Birmingham, AL, 35233, United States.
Urology Clinics of North Texas, Dallas, TX, 75231, United States.
J Sex Med. 2024 May 28;21(6):579-581. doi: 10.1093/jsxmed/qdae049.
Penile deformities due to Peyronie's Disease (PD) often significantly impair men's sexual health and quality of life.
In this article we discuss the extratunical graft (ETG) procedure as a management strategy for PD patients with hourglass or indent penile deformities.
We compiled descriptions of surgical techniques and performed a review of the literature regarding ETG for PD.
The ETG procedure appears to have promising results in the management of indent/hourglass deformity of PD.
The findings of this review of the literature demonstrate that ETG is a safe and effective reconstructive technique for penile deformity with minimal side effects.
We recommend utilizing ETG with or without plication for PD patients with indent or hourglass deformities.
Strengths of ETG are the improvement in patients with tunical indents and hourglass deformities secondary to PD. Additionally, patients who underwent ETG maintained sexual function given no significant change in penile length and intact erectile function. Limitations, however, are that the procedure is relatively new, and data are limited to small cohorts.
The ETG procedure is a safe and effective for management of complex PD in the short- and intermediate-term follow-up cohort.
由于 Peyronie 病（PD）导致的阴茎畸形常严重损害男性的性健康和生活质量。
本文讨论了外隧道移植物（ETG）手术作为治疗 PD 患者沙漏或凹陷性阴茎畸形的一种管理策略。
我们总结了手术技术描述，并对 ETG 治疗 PD 的文献进行了回顾。
ETG 手术似乎在治疗 PD 的凹陷/沙漏畸形方面具有良好的效果。
该文献回顾的研究结果表明，ETG 是一种安全有效的阴茎畸形矫正技术，副作用较小。
我们建议对有凹陷或沙漏畸形的 PD 患者采用 ETG 联合或不联合折叠术。
ETG 的优势在于改善了因 PD 导致的阴茎白膜凹陷和沙漏畸形。此外，接受 ETG 治疗的患者在阴茎长度无明显变化且勃起功能正常的情况下保持了性功能。然而，该手术相对较新，数据仅限于小队列，这是其局限性。
在短期和中期随访队列中，ETG 手术是一种安全有效的治疗复杂 PD 的方法。
Zotero 插件