Peyronie's Reconstruction for Maximum Length and Girth Gain: Geometrical Principles
Peyronie's disease has been associated with penile shortening and some degree of erectile dysfunction. Surgical reconstruction should be based on giving a functional penis, that is, rectifying the penis with rigidity enough to make the sexual intercourse. The procedure should be discussed preop...
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| Format: | Article |
| Language: | English |
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Wiley
2008-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2008/205739 |
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| author | Paulo H. Egydio Salvatore Sansalone |
| author_facet | Paulo H. Egydio Salvatore Sansalone |
| author_sort | Paulo H. Egydio |
| collection | DOAJ |
| description | Peyronie's disease has been associated with penile shortening and some degree of erectile dysfunction. Surgical reconstruction should be based on giving a functional penis, that is, rectifying the penis with rigidity enough to make the sexual intercourse. The procedure should be discussed preoperatively in terms of length and girth reconstruction in order to improve patient satisfaction. The tunical reconstruction for maximum penile length and girth restoration should be based on the maximum length of the dissected neurovascular bundle possible and the application of geometrical principles to define the precise site and size of tunical incision and grafting procedure. As penile rectification and rigidity are required to achieve complete functional restoration of the penis and 20 to 54% of patients experience associated erectile dysfunction, penile straightening alone may not be enough to provide complete functional restoration. Therefore, phosphodiesterase inhibitors, self-injection, or penile prosthesis may need to be added in some cases. |
| format | Article |
| id | doaj-art-2c3a0c7c811443048cad97fb52d1f3a1 |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2008-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-2c3a0c7c811443048cad97fb52d1f3a12025-02-03T06:12:13ZengWileyAdvances in Urology1687-63691687-63772008-01-01200810.1155/2008/205739205739Peyronie's Reconstruction for Maximum Length and Girth Gain: Geometrical PrinciplesPaulo H. Egydio0Salvatore Sansalone1Urology Institute, Rua Iguatemi 192 Cj. 42, São Paulo 01451-010, BrazilPoliclínico di Tor Vergata, Università di Roma, Viale Oxford, 81, 00133 Roma, ItalyPeyronie's disease has been associated with penile shortening and some degree of erectile dysfunction. Surgical reconstruction should be based on giving a functional penis, that is, rectifying the penis with rigidity enough to make the sexual intercourse. The procedure should be discussed preoperatively in terms of length and girth reconstruction in order to improve patient satisfaction. The tunical reconstruction for maximum penile length and girth restoration should be based on the maximum length of the dissected neurovascular bundle possible and the application of geometrical principles to define the precise site and size of tunical incision and grafting procedure. As penile rectification and rigidity are required to achieve complete functional restoration of the penis and 20 to 54% of patients experience associated erectile dysfunction, penile straightening alone may not be enough to provide complete functional restoration. Therefore, phosphodiesterase inhibitors, self-injection, or penile prosthesis may need to be added in some cases.http://dx.doi.org/10.1155/2008/205739 |
| spellingShingle | Paulo H. Egydio Salvatore Sansalone Peyronie's Reconstruction for Maximum Length and Girth Gain: Geometrical Principles Advances in Urology |
| title | Peyronie's Reconstruction for Maximum Length and Girth Gain: Geometrical Principles |
| title_full | Peyronie's Reconstruction for Maximum Length and Girth Gain: Geometrical Principles |
| title_fullStr | Peyronie's Reconstruction for Maximum Length and Girth Gain: Geometrical Principles |
| title_full_unstemmed | Peyronie's Reconstruction for Maximum Length and Girth Gain: Geometrical Principles |
| title_short | Peyronie's Reconstruction for Maximum Length and Girth Gain: Geometrical Principles |
| title_sort | peyronie s reconstruction for maximum length and girth gain geometrical principles |
| url | http://dx.doi.org/10.1155/2008/205739 |
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