Five-year follow-up of Peyronie's graft surgery: outcomes and patient satisfaction

Chung, Eric, Clendinning, Eric, Lessard, Lauren and Brock, Gerald (2011) Five-year follow-up of Peyronie's graft surgery: outcomes and patient satisfaction. Journal of Sexual Medicine, 8 2: 594-600. doi:10.1111/j.1743-6109.2010.02102.x

Author Chung, Eric
Clendinning, Eric
Lessard, Lauren
Brock, Gerald
Title Five-year follow-up of Peyronie's graft surgery: outcomes and patient satisfaction
Journal name Journal of Sexual Medicine   Check publisher's open access policy
ISSN 1743-6095
Publication date 2011-02
Year available 2011
Sub-type Article (original research)
DOI 10.1111/j.1743-6109.2010.02102.x
Open Access Status Not yet assessed
Volume 8
Issue 2
Start page 594
End page 600
Total pages 7
Place of publication Oxford, United Kingdom
Publisher Elsevier
Language eng
Formatted abstract
Introduction: Graft surgery for Peyronie's disease (PD) is associated with significant long-term risks.

Aim: To evaluate the clinical and functional outcomes of graft repairs with a minimum of 5-year follow-up.

Methods: A retrospective review of database and third party telephone survey was undertaken in all men who underwent reconstructive graft procedures for PD between May 1999 and May 2005.

Main Outcome Measures: Patient demographics, International Index of Erectile Function (IIEF-5) scores, and penile Doppler ultrasonography were performed preoperative. Follow-up assessments included surgical outcomes and overall patient satisfactions. Results. A total of 86 patients with an average age of 54.6 (34 to 73) years underwent Peyronie's graft repair. The average follow-up was 98 (61 to 120) months. Twenty patients received dermal graft whereas 33 patients underwent Tutoplast graft and 33 patients had Stratasis small intestinal submucosa graft. Penile curvature greater than 60 degrees was more common in the Tutoplast and Stratasis groups. Twelve patients used phosphodiesterase type 5 inhibitors or intracavenous agents preoperatively. At the time of review, only 46 (53%) patients were able to be contacted and consented for telephone interview. Although 6 months of postoperative follow-up showed excellent resolution, or significantly less, penile curvature, this figures decreased to 50% in dermal, 87% in Tutoplast, and 76% in Stratasis patients. Further penile length shortening was also reported on patient self-assessment at the recent follow-up. Worsening of IIEF-5 scores were noted with the development of erectile dysfunction was more pronounced in the diabetic cohort (P<0.01). The overall satisfaction on a 5-point scale was 2.6 with more than 65% of patients dissatisfied with the outcomes of the Peyronie's graft surgery.

Conclusions: The recurrence of penile curvature, penile length loss, and the new-onset of ED are not uncommon sequelae and are associated with a significant patient dissatisfaction rate when a 5-year follow-up is achieved.
Keyword Patient satisfaction
Peyronie's disease
Peyronie's graft surgery
Treatment of Peyronie's disease
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 24 times in Thomson Reuters Web of Science Article | Citations
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