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Cited by 36Sexual function and dysfunction studiesUrological Disorders and TreatmentsDupuytren's Contracture and Treatments

Examining Postoperative Outcomes after Employing a Surgical Algorithm for Management of Peyronie's Disease: A Single-Institution Retrospective Review

Papagiannopoulos, Dimitri, Yura, Emily, Levine, Laurence·2015·The Journal of Sexual Medicine
DOI 10.1111/jsm.12910
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Abstract

Aim Surgery remains the gold standard treatment for men with stable Peyronie's disease (PD). In an attempt to guide operative selection, we report our series of penile-straightening procedures for PD, using a surgical algorithm that recommended tunica albuginea plication (TAP), partial plaque excision and grafting (PEG) or inflatable penile prosthesis (IPP) placement. With this study, we attempt to further refine surgical approach, define realistic surgical outcomes, and help establish reasonable postoperative expectations for treatment of PD. Methods We retrospectively reviewed all patients who underwent surgery for PD at our institution between 2007 and 2013. Work-up involved a history, physical exam, and a duplex ultrasound. Several questionnaires were employed to assess bother and distress associated with PD. Objective outcomes and patient satisfaction were assessed postoperatively. Primary outcomes include postoperative patient satisfaction with rigidity, curvature, and ability to engage in intercourse. Secondary outcomes include comparing emotional, relationship, and psychological distress to severity of disease. Results A total of 390 patients underwent penile-straightening procedures for correction of PD. Of these patients, 29%, (n = 114) underwent TAP, 41% (n = 159) PEG, and 30% (N = 114) IPP. Mean follow-up was 17 months. The three surgical modalities showed no significant difference in satisfaction with penile rigidity, presence of bothersome residual curve, or abi…

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  • Levine and Lenting were among the first to describe a surgical algorithm for Peyronie's disease based on curvature severity, indentation or hourglass with hinge-effect, and baseline erectile function.

    “Levine and Lenting were one of the first groups to describe their surgical algorithm for Peyronie’s Disease based on curvature severity, presence of indentation/hourglass with associated hinge-effect, and baseline erectile function.”

    From Comparing and Contrasting Peyronie's Disease Guidelines: Points of Consensus and Deviation. (2021) · cites this paper as [40]

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Authors
Papagiannopoulos, D., Yura, E., & Levine, L.
Affiliations
Rush University Medical Center (US)
Corresponding author
Levine, Laurence
ORCID
Venue
The Journal of Sexual Medicine
Publisher
Oxford University Press (OUP)
Published
2015-06-01
Volume
12
Issue
6
Pages
1474-1480
ISSN
  • 1743-6095 (ISSN-L)
  • 1743-6109
DOI
10.1111/jsm.12910
OpenAlex
W1910680421
Cited by
36
References
3
Citations by year
2026: 1 · 2025: 2 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 8 · 2019: 7 · 2018: 4 · 2017: 4 · 2016: 2 · 2015: 2
FWCI
3.24
Type
journal article
Language
en
Open access
closed
Licence
academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
Locations
  • The Journal of Sexual Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
  • Health Sciences › Medicine › Urology › Urological Disorders and Treatments
  • Health Sciences › Medicine › Rheumatology › Dupuytren's Contracture and Treatments
Keywords
Peyronie's disease, surgical algorithm, tunica albuginea plication, inflatable penile prosthesis, penile curvature, penile rigidity, patient satisfaction, psychological distress, postoperative outcomes
MeSH terms
Adult, Algorithms, Humans, Male, Middle Aged, Penile Induration, Penis, Postoperative Period, Surveys and Questionnaires, Retrospective Studies, Penile Prosthesis, Patient Satisfaction, Ultrasonography, Doppler, Duplex

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