Minimally invasive method of surgical treatment of Peyronie's disease

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Abstract

Objective. To improve the results of surgical treatment of Peyronie's disease.

Materials and methods. 20 patients with Peyronie's disease aged 22 to 60 were treated in the urological departments of the Private Clinical Hospital “Russian Railways Medicine” and Astrakhan City Clinical Hospital No. 3 named after. C.M. Kirov. A method of surgical treatment of Peyronie's disease using a shortening technique without opening the tunica albuginea includes the application of a pressure tourniquet to the base of the penis, puncture of the cavernous bodies, injection of sterile saline into them until an erection is achieved, determination of the angle of curvature of the penis, removal of the tourniquet and surgery to eliminate curvature of the penis.

Results. Neither postoperative complications nor formation of hematomas were observed. The patients were discharged on the 4th day in satisfactory condition. 1.5 years` observation showed no progression of angular deformation of the penis which could impede sexual intercourse. The mobility of the skin of the penis was preserved.

Conclusions. In addition to the correction of penile deformity, our method eliminates the need for extensive incisions and preserves the physiological functions of the penis. As a result of using this surgical method, the following goals are achieved: minimal trauma to tissues in the surgical area, absence of scar processes in the plastic area and preservation of the skin of the penis mobility, absence of pronounced postoperative tissue edema, no need to drain the wound, reduction of the duration of the operation and minimal blood loss, short postoperative and rehabilitation period.

About the authors

V. А. Zurnadzhyants

Astrakhan State Medical University

Email: zurviktor@yandex.ru
ORCID iD: 0000-0002-1962-4636

MD, PhD, Professor, Head of the Department of Surgical Diseases of the Pediatric Faculty

Russian Federation, Astrakhan

D. V. Kurashov

Multidisciplinary clinic Euromedprestige

Email: kdmi87@mail.ru
ORCID iD: 0009-0002-1254-1237

Urologist

Russian Federation, Moscow

E. А. Kchibekov

Astrakhan State Medical University

Email: zurviktor@yandex.ru
ORCID iD: 0000-0001-9213-9541

MD, PhD, Professor of the Department of Surgical Diseases of the Pediatric Faculty

Russian Federation, Astrakhan

А. А. Proskurin

City Clinical Hospital № 3 named after S.M. Kirov

Author for correspondence.
Email: zurviktor@yandex.ru
ORCID iD: 0000-0003-0220-9652

Candidate of Medical Sciences, Head of the Urological Department

Russian Federation, Astrakhan

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Supplementary files

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2. Fig. 1. Tunneling of the subcutaneous space with a grooved Kocher probe through transverse incisions of the skin above the corpus cavernosum

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3. Fig. 2. Inserting a stabbing needle with a non-absorbable thread into a transverse skin incision, grasping the tunica albuginea to a depth of 3–5 mm

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4. Fig. 3. Pulling and tying the ends of the thread together into a subcutaneous knot, eliminating deformation of the penis

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