Plication techniques in Peyronie's disease: new developments.,International Journal of Impotence Research

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Plication techniques in Peyronie's disease: new developments.
International Journal of Impotence Research ( IF 2.8 ) Pub Date : 2019-10-03 , DOI: 10.1038/s41443-019-0204-1
Borja García-Gómez _{1,

2} , Daniel Antonio González-Padilla ₁ , Manuel Alonso-Isa ₁ , Jose Medina-Polo _{1,

2} , Javier Romero-Otero _{1,

2}

Affiliation

To date, surgical correction remains the gold standard for patients with stable Peyronie's disease (PD) due to its high efficacy and low morbidity. Among the surgical procedures, penile plication (PP) can be offered to men who have adequate erectile function and penile length (>13 cm), with a curvature <60° and a predicted shortening of maximum 20% of the penis. The aim of this paper is to review the new developments that have emerged in the last years about the use of PP in patients with PD. A nonsystematic review of the literature was carried out searching in the PubMed and EMBASE databases from January 01, 2009 to April 01, 2019 including the words 'Peyronie', 'penile curvature', 'penile induration', 'plication', and 'plicature'. New developments in PP in the last 10 years include avoiding degloving by using a penoscrotal incision, a new mathematical model to predict loss of length after PP, a wider range of indications including patients with severe (≥60°) or complex curvatures, burying knots to avoid later discomfort, and thinning or incising the plaque to prevent excessive shortening. PP is a well-founded procedure with great results in appropriately selected patients. Given the lack of any prospective randomized trial, no clear recommendation can be made of one technique over another.

中文翻译：

佩罗尼氏病的应用技术：新进展。

迄今为止，由于手术矫正的高效率和低发病率，仍然是稳定的佩罗尼氏病（PD）患者的金标准。在外科手术中，可以为具有足够的勃起功能和阴茎长度（> 13厘米），曲率<60°且预计缩短最多20％的男性提供阴茎折弯（PP）。本文的目的是回顾近年来在PD患者中使用PP的新进展。从2009年1月1日至2019年4月1日在PubMed和EMBASE数据库中进行文献检索的非系统性综述，包括单词“ Peyronie”，“阴茎弯曲”，“阴茎硬结”，“复制”和“复制” '。过去10年中PP的新发展包括通过使用阴囊切口避免脱色，一种新的数学模型来预测PP术后长度的损失，适应症更广，包括重度（≥60°）或复杂曲度的患者，掩埋结避免以后出现不适，并减薄或切开菌斑以防止过度缩短。PP是在适当选择的病人很大的成绩有根有据的过程。由于缺乏任何前瞻性随机试验，因此无法明确推荐一种技术优于另一种技术。并稀释或切开菌斑以防止过度缩短。PP是在适当选择的病人很大的成绩有根有据的过程。由于缺乏任何前瞻性随机试验，因此无法明确推荐一种技术优于另一种技术。并稀释或切开菌斑以防止过度缩短。PP是在适当选择的病人很大的成绩有根有据的过程。由于缺乏任何前瞻性随机试验，因此无法明确推荐一种技术优于另一种技术。

更新日期：2019-10-03

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