Peyronie's disease

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Safe surgical approaches for Peyronie's disease:

Hussein Ghanem, M.D. Professor of Andrology, Sexology & STDs Cairo University Safe surgical approaches for Peyronie's disease

Safest Approaches:

Safest Approaches Easy and simple No elevation on the neurovascular bundle. No excision of tunical segments. Local Anesthesia Short operative time Avoid too tight compression dressing

Plication Procedures:

Plication Procedures Simple Minimally invasive Minimal complications Preserve potency Hussein Ghanem, Rany Shamloul and Amr Kaddah. Incisionional Corporoplasty For The Correction Of Congenital Penile Curvature: A Review Of Two Suturing Techniques. International Journal of Impotence Research (2008) 20, 222–225 Ghanem,-H; Ghazy,-S; El-Meliegy. Horizontal plication after vertical tunical incisions for the correction of congenital penile curvature.,-A Int-J-Impot-Res. 2000 Apr; 12(2): 117-9

PowerPoint Presentation:

Ghanem et al. IJIR (2008)

PowerPoint Presentation:

Ghanem et al. International Journal of Impotence Research (2008)

PowerPoint Presentation:

Ghanem et al. International Journal of Impotence Research (2008)

16-Dot Procedure for Penile Curvature William O. Brant, Anthony J. Bella, and Tom F. Lue:

16-Dot Procedure for Penile Curvature William O. Brant, Anthony J. Bella, and Tom F. Lue

90 Degrees Ventral Curve:

90 Degrees Ventral Curve

PowerPoint Presentation:

Soft permanent sutures e.g. 2-0 Ethibond

Before artificial erection:

Before artificial erection

Residual left deviation:

Residual left deviation Residual Left deviation

PowerPoint Presentation:

Additional 4 dots, on the tight to correct residual left deviation

Summary:

Summary PD presents with pain, shortening & curvature & a palpable Fibrous scar in the tunica albuginia. Pain resolves within 12-18 ms. Non-surgical measures (oral / Local injections) may be attempted in the early phase & have limited effectiveness on curvature correction. ED managed by PDE-5 inhibitors. Surgery in chronic stable disease. Least invasive surgical procedures are the safest.

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