Table 1.
Outcomes of shortening techniques for Peyronie's disease
| Study | Journal | Surgical technique | Study design | Patients number | Mean follow-up | Penile straightness, (%) | Suture-related issues, (%) | Recurrent curvature, (%) | Side effects (%) | Overall satisfaction, (%) |
|---|---|---|---|---|---|---|---|---|---|---|
| Ralph et al, 199553 | Journal of Urology | Nesbit | Retrospective | 359 | 21 | 94 90 |
NA | 6 | Erectile dysfunction: 2 Penile shortening precluding sexual intercourse: 1.7 |
82 not stated |
| Rehman et al, 1997151 | Journal of Urology | Nesbit modification | Retrospective | 32 | 32 | CPC 100 PDPC 73 |
NA | CPCP 0 PDPC 7.7 |
Penile shortening: 23.1 Decreased penile sensation: 19.2 |
CPC 100 PDPC 78 |
| Sassine et al 1994152 | Urology | Plication | Not stated | 55 Congenital 32 PD 23 |
120 not stated |
95 | NA | 0 | Scar perception: 18.2 | 95% not stated |
| Geertsen et al 199659 | British Journal of Urology | Plication | Not stated | 28 | 34 | 42.9 | 17.9 | Not stated | Pain: 17.9 Persisting curvature: 57.1 |
54 |
| Savoca et al 200064 | International Journal of Impotence Research | Nesbit | Not stated | 157 | 72 | 82.1 | 1.9 | 0 | Penile shortening affecting sexual intercourse: 1.3 Erectile dysfunction: 12.7 |
87.9 |
| Chahal et al 200166 | British Journal of Urology International | Corporal plication | Not stated | 69 | 4.1 | Not stated | 34 | 57 mild 14 severe |
Significant penile shortening: 55 Numbness of the glans: 32 |
Not stated |
| Van der Horst et al 200460 | British Journal of Urology International | Essed-Schroeder | Retrospective | 50 28 PD 22 Congenital |
30 | 100 | Not stated | Not stated | Penile shortening: 74% Impairment of penile sensibility: 28 Persisting curvature: 14 |
78 |
| Lopes et al 201355 | Urology Annals | Yachia | Retrospective | 117 | 14 | 94.6 | NA | 19.6 | Glans hyposthesia: 8 Penile shortening concerning sexual intercourse: 2.6 |
88.4 |
| Rolle et al, 200563 | Journal of Urology | modified corporoplasty procedure involving plication suture on the convex aspect of the penis before tunica albuginea resection | Retrospective | 50 32 Congenital 18 PD |
12 14 |
100 | NA | 0 | Mild decrease skin sensibility: Congenital 40 PD 60 Penile shortening: 78 |
94 |
| Friedrich et al, 2000149 | British Journal of Urology International | Essed-Schroeder | Retrospective | 31 (19 CPC, 12 PDPC) |
22 | 52 48 (residual curvature) Not stated |
CPC 3 PDPC 0 |
CPC 5.3 PDPC 8.3 Not stated |
Penile shortening: 19 Pain: 26 Numbness: 6.5 Impaired rigidity: 19 |
CPC 94.7 PDPC 58.3 81 |
| Gholami et Lue, 200257 | Journal of Urology | 16-dot | Retrospective | 132 | 30 | 85 93 |
12 | 15 | Penile shortening affecting sexual activity: 7 Narrowing of the penis: 9 Decrease in penile sensation: 6 Peniel hematoma: 4 Penile pain: 1 Worsening of erectile function: 6 |
96 |
| Schultheiss et al 200067 | European Urology | Essed | Retrospective | 61 (40 CPC 21PDPC) |
40 | 70 not stated |
42.8 32.8 |
29.5 (22.5 CPC 42.9 PDPC) |
Erectile dysfunction: 3.3 Penile shortening: 45.9 |
NA |
| Greenfield et al 200658 | Journal of Urology | Tunica albuginea plication | Not stated | 102 (PD (68) chordee (34) |
29 | 99 | NA | 7 0.9 |
Penile shortening: PD 7.3, Chordee 2.9 Decreased rigidity: PD 7.3, Chordee 0 Decreased sensation: PD 4.4, Chordee 2.9 |
PD 98.5 Chordee 100 |
CDC = Congenital penile curvature; PDPC = Peyronie's disease penile curvature.