Surgical outcomes and patient satisfaction after dermal, pericardial, and small intestinal submucosal grafting for Peyronie's disease.

Surgical outcomes and patient satisfaction after dermal, pericardial, and small intestinal submucosal grafting for Peyronie's disease. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Surgical outcomes and patient satisfaction after dermal, pericardial, and small intestinal submucosal grafting for Peyronie's disease. Abstract Text:

Jason R Kovac,Gerald B Brock,Jason R Kovac,Gerald B Brock,

INTRODUCTION: Peyronie's disease, a localized fibrosis of the tunica albuginea surrounding the penile corpora, results in penile curvature and sexual dysfunction. Surgical management involving grafting to straighten the penis is the treatment of choice in conditions unresponsive to conservative therapy where penile length preservation is important. AIM: To determine surgical outcomes and patient satisfaction after dermal, pericardial, and small intestinal submucosal grafting for Peyronie's disease. MAIN OUTCOME MEASURES: The International Index of Erectile Function (IIEF), postoperative self-reports, patient satisfaction, and clinical characteristics were used to measure outcomes. METHODS: We retrospectively reviewed charts of 36 patients who underwent surgery for Peyronie's disease requiring grafting from 1999 to 2005. Follow-up to subjectively assess outcomes was conducted. RESULTS: Average patient age at surgery was 55 +/- 1 years. Body mass indexes were similar among all groups. Erectile dysfunction risk factors were comparable with 36% reporting hypertension and 22% hypercholesterolemia. Overall patient follow-up time was 673 +/- 98 days. Self-reported resolution of penile curvature was noted in 60% of dermal, 100% of Tutoplast, and 76.9% of Stratasis graft recipients. Stratasis patients maintained presurgery length (54%) and rigidity (77%) more so than dermal (30%, 60%) and Tutoplast (23%, 39%) patients. Assessment of erectile dysfunction using the IIEF-5 captured significant improvements in patients receiving Stratasis grafts (preoperative: 10.1 +/- 1.1 vs. postoperative: 17 +/- 1.6). Overall, 89% of patients reported satisfaction following surgical intervention. CONCLUSIONS: Surgical management of Peyronie's disease results in correction of penile curvatures and high rates of patient satisfaction. Loss of penile length and decreased rigidity occurred to a lesser degree with Stratasis grafts. While detailed informed consent is essential in this patient population, novel materials such as Tutoplast and Stratasis grafts improve outcomes following surgical correction of Peyronie's disease.

Surgical outcomes and patient satisfaction after dermal, pericardial, and small intestinal submucosal grafting for Peyronie's disease. Publishing Authors By Initials

JR Kovac,GB Brock,JR Kovac,GB Brock,

For similar abstracts research abstracts see: abstracts research

PUBMED ID PMID:

MEDLINE DATE:

Surgical outcomes and patient satisfaction after dermal, pericardial, and small intestinal submucosal grafting for Peyronie's disease. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: The journal of sexual medicine

VOLUME: 4

Page Numbers: 1500-8

Journal Abbreviation:

ISSN: 1743-6095

DAY: 13

MONTH: 04

YEAR: 2007

Surgical outcomes and patient satisfaction after dermal, pericardial, and small intestinal submucosal grafting for Peyronie's disease. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 101230693

Surgical outcomes and patient satisfaction after dermal, pericardial, and small intestinal submucosal grafting for Peyronie's disease. Keywords Mesh Terms:

KEYWORDS:

MESH TERMS:

Chemical & Substance for Abstract: Surgical outcomes and patient satisfaction after dermal, pericardial, and small intestinal submucosal grafting for Peyronie's disease. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Surgical outcomes and patient satisfaction after dermal, pericardial, and small intestinal submucosal grafting for Peyronie's disease.

AFFILIATION: University of Western Ontario-Department of Physiology and Pharmacology, London, Ontario, Canada.

Country: United States

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: J Sex Med

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Surgical outcomes and patient satisfaction after dermal, pericardial, and small intestinal submucosal grafting for Peyronie's disease Related Publications

• A case series of HIV-positive patients with malignant melanoma.
• A general methodology for the synthesis of transition metal pnictide nanoparticles from pnictate precursors and its application to iron-phosphorus phases.
• An HIV-associated mediastinal germ cell tumour complicated by acute myeloid leukaemia.
• An artificial mitochondrial tail signal/anchor sequence confirms a requirement for moderate hydrophobicity for targeting.
• An improved system for the generation and analysis of mutant proteins containing unnatural amino acids in Saccharomyces cerevisiae.
• An unexpected co-crystal with a variable degree of order: 1:1 rac-1,2-cyclohexanediol/triphenylphosphine oxide.
• Congenital cyanotic heart disease.
• Contact surface and material nonlinearity modeling of human lungs.
• Daily administration of phosphodiesterase type 5 inhibitors for urological and nonurological indications.
• Drainage, streptomycin and tuberculosis.
• Evaluation of hunter-harvested white-tailed deer for evidence of bovine viral diarrhea virus infection in Alabama.
• Expression of 5-lipoxygenase in specialized epithelial cells of nasopharyngeal-associated lymphoid tissue.
• First stage approximation of the exstrophic bladder in patients with cloacal exstrophy--should this be the initial surgical approach in all patients?
• HOW THE CONFEDERATE ARMY WAS VACCINATED.
• Leukotrienes: mediators that have been typecast as villains.
• Malnutrition in South Africa.
• Morbus coeruleus; a study of 50 cases after the Blalock-Taussig operation.
• Particle-rod hybrids: growth of arachidic acid molecular rods from capped cadmium selenide nanoparticles.
• Potential mRNA degradation targets of hsa-miR-200c, identified using informatics and qRT-PCR.
• Surgical outcomes and patient satisfaction after dermal, pericardial, and small intestinal submucosal grafting for Peyronie's disease.
• Synthesis of MnP nanocrystals by treatment of metal carbonyl complexes with phosphines: a new, versatile route to nanoscale transition metal phosphides.
• The activity of lipopeptide TLR2 agonists critically depends on the presence of solubilizers.
• The impact of a fellowship on resident training in an academic pediatric urology practice.
• The role of patients' expectations and goals in the behavioral and pharmacological treatment of obesity.
• The surgery of pulmonary stenosis.
• The surgery of the heart.
• Transcriptional interference: an unexpected layer of complexity in gene regulation.
• [Not Available.]
• [Not Available.]
• miRNA: the new gene silencer.