Long-term patient satisfaction after surgical correction of penile curvature via tunical plication

ABSTRACTObjective: To assess patient satisfaction and functional results at long term follow-up after surgical correction for Peyronie’sdisease (PD) and congenital penile curvature (CPC) with the technique of tunical plication.Materials and Methods: One hundred and two men operated for PD (n = 76) or CPC (n = 26) in four different departmentsof urology in public hospitals agreed to answer a six-question telephone questionnaire about treatment satisfaction.Tunica albuginea plication procedures represented the standard surgical approach. Subjects under investigation werecorrection of the deformity, feeling of bumps under the skin, pain during erection, penile sensory changes, developmentof erectile dysfunction (ED) and postoperative ability for complete vaginal intromission. Subjective response rates werecompared using the chi square test on the basis of the etiology of the disease (CPC or PD).Results: Significant differences (p < 0.05) between patients with CPC and PD were noticed in the prevalence of postoperativepenile deformity, sensory changes, ED and ability to complete vaginal intromission, PD patients always showing a morepessimistic view. No significant differences (p = ns) were detected in terms of unpleasant nodes under the penile skin orpain during erection.Conclusions: Long-term outcome after surgical correction for PD and CPC with the technique of tunical plication can bepoor. Probably patient expectations are above the real performance of surgical techniques. Preoperative informationshould be more exhaustive.Key words: penis; Peyronie’s disease; surgery; erectile dysfunctionInt Braz J Urol. 2007; 33: 502-9