Dermis as an interposing graft for reconstructing Peyronies disease

ABSTRACT

Peyronies disease is an acquired fibrous plaque induced penile deformity, it has two phases; acute with painful erection and chronic with minimal pain but persistant penile curvature. Many conservative and surgical treatment modalities have been described. Plaque excision and dermal grafting has given promising results. To evaluate the efficacy of plaque excision and dermal grafting in peyronies disease. A prospective study was conducted on ten patients with chronic peyronies disease. All the patient underwent surgical excision of fibrotic plaque and dermal grafting. All the patients were evaluated postoperatively through regular visits for six to eight months to detect any recurrence or erectile dysfunction. The disease was more prevalent between ages of 40-55 years. All the plaques were located dorsally on the penile shaft except one which was dorsolateral. Five patients were complaining of erectile dysfunction preoperatively, two of them improved after surgery. Postoperative recurrence of fibrotic pluque involved only one patient. Fibrotic plaque excision and dermis grafting is an effective method on the long term with minimal associated complications