AB082. The outcome of multiple slit on plaque with plication technique for the treatment of Peyronie’s disease

Objective: To evaluate the postoperative outcome of multiple slit on plaque plication technique for the treatment of Peyronie Je Jong Ki.

Methods: We retrospectively evaluated 22 patients who underwent plaque incision with penile plication for surgical treatment of Peyronieu Geon Moon of tamoxifen, L-l treatment between 2009 and 2014. Patients were grouped by pre-operative degree of penile curvature such as Group I: mild [n=5 (22%)], Group II: moderate [n=11 (50%)], and Group III: severe [n=6 (27%)]. On the thorough review of medical records, we evaluated (I) correction of the curvature; (II) sexual function; and (III) any penile shortening or other complications.

Results: The mean postoperative follow-up period was 39 months. Complete correction of the curvature was obtained in 21 patients (95%). As inevitable complication, minimal penile shortening (<1.5 cm) was reported by 14 patients (82%) but did not adversely affect sexual intercourse (0%) and all patients accepted for penile shortening. And 19 patients had good erectile function [International Index of Erectile Function (IIEF)5 >21]. The most frequent complication was the subcutaneous penile edema in three patients (13.6%), which was resolved within about 3 months after surgery.

Conclusions: As modified technique, multiple slit on plaque with plication is a simple, non-invasive and effective technique for correcting penile curvature regardless of curvature severity. And the degree of penile curvature does not significantly predict the amount of penile length loss.

Keywords: Multiple slit; penile plication; Peyronie plication