Surgical treatment of Peyronie disease

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Abstract

We present the results of operative treatment of 25 men with Peyronie disease. Indications for surgical treatment included plaques > 1.5 cm and a penile curvature angle > 45°. In total, 11 patients underwent plaque plication of the penis following the method of P.A. Shcheplev, 5 patients underwent substitutive corporoplasty of plaque using the large saphenous vein of the thigh, 5 patients underwent patchwork сorporoplasty using xenopericardium, and 4 patients underwent corporoplasty using buccal mucosa graft. The results of the operative treatment of all patients were considered positive. In conclusion, operative treatment of patients with Peyronie disease undergoing corporoplasty replacement is indicated for plaque stabilization, particularly while using xenopericardium.

About the authors

Svetlana N. Kalinina

North-Western State Medical university named after I.I. Mechnikov

Author for correspondence.
Email: kalinina_sn@mail.ru

Doctor of Medical Science, Professor, Urology Department

Russian Federation, Saint Petersburg

Vladimir N. Fesenko

North-Western State Medical university named after I.I. Mechnikov

Email: fesvn_spb@mail.ru

Candidate of Medical Science, Associate Professor, Urology Department

Russian Federation, Saint Petersburg

Anton V. Nikolskii

Aleksandrovskaya Hospital

Email: burlaka@list.ru

Candidate of Medical Science, Urologist, Department of Urology

Russian Federation, Saint Petersburg

Oleg O. Burlaka

Aleksandrovskaya Hospital

Email: burlaka@list.ru

Candidate of Medical Science, Head of Department of Urology

Russian Federation, Saint Petersburg

References

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Supplementary files

Supplementary Files
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2. Fig. 1. Operation by P.A. Shcheplev. Stages of plastic - in the text

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3. Fig. 2. Patient P., 45 years old. Peyronie's disease, angle of curvature of the penis more than 60 degrees (a), plaque plastic veins v. safenamagna (b). By fractional steps of the operation - in the text

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4. Fig. 3. The patient, 54 years old. Buccal plastic of the plaque of the mucous cheek. The stages of the operation: a - taking the graft from the mucous membrane of the cheek; b - the flap is thoroughly cleaned with microsurgical instruments; c, d - the flap is modeled depending on the defect of the belly coat; d - the graft is fixed with sutures to the belly coat; e - a protective bandage is applied to the penis

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5. Fig. 4. Plastika plaque with bovine xenopericardium. Stages of the operation: a, b - xenopericardium calf domestic production "BIOPLAM" and the preparation of xenopericardium for implantation; c, d - fixation of xenopericardium to the gall bladder

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Copyright (c) 2018 Kalinina S.N., Fesenko V.N., Nikolskii A.V., Burlaka O.O.

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This work is licensed under a Creative Commons Attribution 4.0 International License.
 


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