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https://www.readbyqxmd.com/read/29151107/repeated-micro-trauma-of-the-penile-tunica-albuginea-a-new-animal-model-of-peyronie-s-disease
#1
Hesong Jiang, Qingqiang Gao, Xiaoyan Che, Leilei Zhu, Zheng Zhang, Yun Chen, Yutian Dai
OBJECTIVES: To compare effects of repairing injured tunica albuginea (PTA) of rat penis by single or repeated local injections of chlorhexidine ethanol (ChE) into the PTA and to establish a new animal model of Peyronie's disease (PD). MATERIALS AND METHODS: Forty-two rats were divided into 7 groups. Rats either served as the normal control group with 1-5 injections of 0.9% saline or they received a single injection, 2, 3, 4, or 5 injections of ChE (0.1% chlorhexidine gluconate plus 15% ethanol dissolved in saline); rats in the positive control group were injected with TGF-β1...
November 18, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/29144850/clinical-factors-negatively-impacting-sexual-relationships-in-men-with-peyronie-s-disease
#2
Matthew J Ziegelmann, Manaf Alom, Kevin Hebert, Ross Avant, Tobias Köhler, Landon Trost
Here, we sought to identify clinical factors associated with a negative impact on the relationship in Peyronie's Disease patients. During initial consultation, a detailed sexual questionnaire was administered, which included a question on whether or not PD negatively impacted the current sexual relationship. 146/242 (60.3%) patients reported that PD negatively impacted their sexual relationship. On multivariate analysis, penile shortening, partner pain with intercourse, and shorter relationship duration were associated with a negative relationship effect...
November 16, 2017: Journal of Sex & Marital Therapy
https://www.readbyqxmd.com/read/29108977/sexual-dysfunction-in-urethral-reconstruction-a-review-of-the-literature
#3
REVIEW
Cooper R Benson, Ly Hoang, Jonathan Clavell-Hernández, Run Wang
INTRODUCTION: Urethral stricture disease accounts for 5,000 hospitalizations and 1.5 million office visits per year. Urethral reconstruction has become more commonplace with the recognition of the poor long-term success of the endoscopic management of stricture disease. Sexual dysfunction related to the surgical management of urethral strictures is an under-recognized sequela. AIM: To characterize and elucidate the various factors that contribute to sexual dysfunction after urethroplasty and hypospadias reconstruction to improve surgical decision making and patient counseling...
November 3, 2017: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/29104792/three-anatomical-levels-possibilities-to-decrease-invasiveness-of-reconstructive-surgery-for-congenital-penile-curvature
#4
Wojciech Perdzyński, Marek Adamek
Introduction: The aim of the study was to report methods - based on penile anatomy - leading to the minimization in the invasiveness of reconstructive surgery for congenital penile curvature (CPC). Material and methods: From 2006 to 2016 authors operated on 186 adult men with CPC.To avoid degloving, the authors used the longitudinal skin and tunica dartos incision. For decreasing invasiveness to the dorsal neurovascular bundle (NVB), the authors separated it only locally in the shape of a triangle or a trapezium, elevating it only over the place of the tunical reconstruction...
2017: Central European Journal of Urology
https://www.readbyqxmd.com/read/29058072/reconstructive-surgery-for-recurrent-penile-curvature
#5
Masahiro Takeda, Shogo Seo, Ryo Sueyoshi, Hiroki Nakamura, Kazuto Suda, Geoffrey J Lane, Atsuyuki Yamataka
PURPOSE: There are surprisingly few reports about reconstructive surgery for severe recurrent/persistent penile curvature (redo-PC). We present our experience. METHODS: We reviewed 9 redo-PC cases we treated between 1998 and 2016. RESULTS: Cases 1-3 and 5 were identified from 111 consecutive hypospadias patients we treated between 1998 and 2016 (4/111; 3.6%). Cases 4 and 6-9 had initial surgery elsewhere. Initial PC was severe (> 45°; n = 5), moderate (30°-45°; n = 1), or unknown (n = 3), treated by dorsal plication (DP) in 4/9 (cases 1-4), chordectomy in 2/9 (cases 5, 6), and unknown in 3/9 (cases 7-9); no case had tunica albuginea incision (TAI)...
October 20, 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/29051007/long-term-results-of-ventral-penile-curvature-repair-in-childhood
#6
Dor Golomb, Bezalel Sivan, Pinhas M Livne, Amihay Nevo, David Ben-Meir
OBJECTIVES: To assess the post-pubertal outcome of ventral penile curvature repaired in infancy in terms of recurrence and aesthetics. MATERIALS AND METHODS: Post-pubertal patients treated for hypospadias and ventral penile curvature in infancy at a tertiary medical center were invited to undergo assessment of the quality of the repair. Findings were compared between patients with a straight penis after skin release and patients who required dorsal plication. RESULTS: The cohort included 27 patients of mean age 16...
October 16, 2017: Urology
https://www.readbyqxmd.com/read/29043694/-long-term-results-of-hypospadias-surgery-urinary-and-sexual-function-and-psychological-impact
#7
J Rojas-Ticona, G Zambudio Carmona, L Delmas Benito, M Fernández-Ibieta, P Y Reyes Ríos, I Martínez Castaño, V Villamil, A Sánchez Sánchez, M J Guirao Piñera, J I Ruiz Jiménez
OBJECTIVES: To determine the current status of the patients operated on for hypospadias in our region, in order to adapt the surgical technique to their real needs. MATERIAL AND METHODS: A descriptive and observational study. Interviews were conducted with hypospadias surgery patients in our hospital between 1976 and 1996, focusing on their urinary and sexual function and psychological impact. We performed a descriptive statistical analysis and comparisons between types of hypospadias (SPSSv19)...
July 20, 2017: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
https://www.readbyqxmd.com/read/28974406/treatment-of-peyronie-s-disease-with-collagenase-clostridium-histolyticum-and-vacuum-therapy-a-randomized-open-label-pilot-study
#8
David J Ralph, Amr Abdel Raheem, Genzhou Liu
BACKGROUND: Collagenase Clostridium histolyticum (CCH) is indicated for the treatment of penile curvature in adult men with Peyronie's disease (PD) with palpable plaque and curvature deformity of at least 30° at the start of therapy. AIM: To evaluate the efficacy and safety of CCH plus vacuum-pump therapy with and without penile modeling for the management of PD. METHODS: Adult men with PD and penile curvature of at least 30° were randomly assigned to receive CCH 0...
September 30, 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28952696/-buccal-mucosa-transplant-the-concept-of-ideal-graft-in-surgical-management-of-peyronies-disease
#9
S V Kotov, A G Yusufov, M K Semenov
INTRODUCTION: Surgical techniques in managing Peyronies disease include plication corporoplasty, plaque incision, grafting and penile prosthesis implantation. The question of an ideal transplant for corporoplasty remains open. AIM: To evaluate the effectiveness of the substitution corporoplasty using buccal mucosa transplant (BMT) in treating Peyronies disease. MATERIALS AND METHODS: From January 2011 to February 2016, 28 patients with stable stage Peyronies disease underwent substitution coroproplasty using BMT (incision and grafting)...
September 2017: Urologii︠a︡
https://www.readbyqxmd.com/read/28929092/management-of-high-grade-penile-curvature-associated-with-hypospadias-in-children
#10
REVIEW
Paulo R M Moscardi, Rafael Gosalbez, Miguel Alfedo Castellan
Penile curvature is a frequent feature associated with hypospadias with also a great variability of severity among each patient. While the low-grade curvature (<30°) can be relatively easily corrected by simple techniques like penile degloving and dorsal plication, severe cases often demand more complex maneuvers to manage it. A great number of surgical techniques have been developed to adequately correct curvatures greater than 30°; however, each one of them should be individualized to different patients and local conditions encountered...
2017: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/28923308/effect-of-penile-traction-and-vacuum-erectile-device-for-peyronie-s-disease-in-an-animal-model
#11
Haocheng Lin, Chunhui Liu, Run Wang
BACKGROUND: Penile traction therapy with the use of a traction device (TD) or vacuum erectile device (VED) has been studied as local modalities for Peyronie's disease (PD). AIM: To identify changes of penile curvature, erectile function, and possible cellular and molecular mechanisms between the TD and VED in a rat model of PD. METHODS: Peyronie's plaque was induced in 30 adult male rats. Then, rats were randomly divided into control (PD without treatment), VED, and TD groups...
October 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28904897/peyronie-s-graft-surgery-tips-and-tricks-from-the-masters-in-andrologic-surgery
#12
Georgios Hatzichristodoulou, Peter Tsambarlis, Hubert Kübler, Laurence A Levine
BACKGROUND: Grafting techniques in the surgical management of Peyronie's disease (PD) are challenging, especially in inexperienced hands. In order to improve surgical outcomes the urologist should follow a standard surgical approach, preferably of an established and reliable grafting technique. The aim of this study is to provide tips and tricks for graft surgery for PD. METHODS: This report offers a step-by-step tutorial for grafting techniques in PD, especially for the Sealing technique and the partial plaque excision and grafting (PEG) procedure...
August 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28892596/peyronie-s-disease-watch-out-for-the-bend
#13
Christopher Love, Darren J Katz, Eric Chung, Ohad Shoshany
BACKGROUND: Peyronie's disease is a relatively common condition in urological practice, but is still poorly identified and understood in the wider medical community and by most of the public. Identifying the condition and appropriate referral for expert opinion can significantly lessen the physical and psychological effect on patients. OBJECTIVE: The objective of this article is to provide general practitioners with a concise and updated review of Peyronie's disease, with the aim of helping them to provide appropriate advice to their patients...
September 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28886994/successful-treatment-of-residual-curvature-in-peyronie-disease-in-men-previously-treated-with-intralesional-collagenase-clostridium-histolyticum
#14
Kenneth DeLay, Linley Diao, Hoang Minh Tue Nguyen, Jonathan Zurawin, Russell Libby, Faysal Yafi, Wayne J G Hellstrom
OBJECTIVE: To determine the success and feasibility of surgically correcting residual curvature after intralesional collagenase clostridium histolyticum (CCH) for the treatment of Peyronie disease (PD). METHODS: We performed a retrospective analysis of patients who had intralesional CCH treatment for PD and who subsequently underwent penile plication (PP), plaque incision and grafting (PIG), or inflatable penile prosthesis (IPP) placement. RESULTS: Ten men who underwent PP, PIG, or IPP for the treatment of residual curvature after intralesional CCH were identified...
September 5, 2017: Urology
https://www.readbyqxmd.com/read/28879693/collagenase-clostridium-histolyticum-in-the-treatment-of-peyronie-s-disease-review-of-a-minimally-invasive-treatment-option
#15
REVIEW
Andrew T Gabrielson, Laith M Alzweri, Wayne Jg Hellstrom
Peyronie's disease (PD) is an inflammatory disorder characterized by an abnormal collagen deposition in the tunica albuginea of the penis, leading to fibrous and non-compliant plaques that can impede normal erection. Although pharmacological treatments are available, only intralesional injection therapy and surgical reconstruction have demonstrated tangible clinical efficacy in the management of this condition. Intralesional injection of collagenase clostridium histolyticum (CCH) has come to the forefront of minimally invasive treatment of PD...
September 6, 2017: World Journal of Men's Health
https://www.readbyqxmd.com/read/28874331/safety-and-efficacy-of-collagenase-clostridium-histolyticum-in-the-treatment-of-acute-phase-peyronie-s-disease
#16
Hoang Minh Tue Nguyen, James Anaissie, Kenneth J DeLay, Faysal A Yafi, Suresh C Sikka, Wayne J G Hellstrom
BACKGROUND: Peyronie's disease (PD), defined as the abnormal formation of fibrous plaque(s) in the tunica albuginea of the penis, is a chronic condition that afflicts 3% to 13% of the US male population; there is no current research on the efficacy and safety of collagenase Clostridium histolyticum (CCH) in the treatment of acute phase PD. AIM: To examine the efficacy and safety of CCH in the treatment of acute-phase PD. METHODS: We retrospectively reviewed the records for all patients treated with CCH for PD from April 2014 through April 2017...
October 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28874327/collagenase-clostridium-histolyticum-in-the-treatment-of-peyronie-s-disease-a-review-of-the-literature-and-a-new-modified-protocol
#17
REVIEW
Amr Abdel Raheem, Mark Johnson, Tarek Abdel-Raheem, Marco Capece, David Ralph
INTRODUCTION: Peyronie's disease (PD) is a common condition that results in penile deformity, which makes sexual intercourse difficult or impossible, and causes psychological, emotional, and relationship difficulties for the man affected and his partner. Collagenase Clostridium histolyticum (CCH; Xiapex, Xiaflex) is the first licensed non-surgical treatment option for PD. The safety and efficacy have been demonstrated in two large phase III randomized controlled trials (IMPRESS I and IMPRESS II)...
September 2, 2017: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/28791261/rationale-of-combination-therapy-with-antioxidants-in-medical-management-of-peyronie-s-disease-results-of-clinical-application
#18
Gianni Paulis, Andrea Paulis, Gennaro Romano, Davide Barletta, Andrea Fabiani
Peyronie's disease (PD) is a connective tissue disorder involving the tunica albuginea of the corpora cavernosa of the penis. We have published several studies describing a "combined therapy" for PD patients, but the present study aims to clearly demonstrate how the association between various antioxidants in PD treatment can significantly increase the likelihood of therapeutic success. We used the following substances: silymarin, ginkgo biloba, vitamin E, bilberry, topical diclofenac sodium, and pentoxifylline (PTX)...
2017: Research and Reports in Urology
https://www.readbyqxmd.com/read/28789936/buck-s-fascia-repair-with-glanuloplasty-in-hypospadias-surgery-a-simple-approach-with-excellent-outcome
#19
Aejaz Ahsan Baba, Sajad Ahmad Wani, Nisar Ahmad Bhat, Gowhar Nazir Mufti, Tariq Nazir Lone, Shaista Nazir
BACKGROUND: Hypospadias is a common problem encountered in surgical practice and its repair is challenging because of various complications. Urethro-cutaneous fistula is the most common postoperative complication (incidence of 0-33%). Different types of intermediate protective layers have been used in attempts to decrease UCF formation; however, no single surgical technique is ideal. OBJECTIVE: The aim of this study was to compare use of dartos fascia and Buck's fascia as intermediate layers in prevention of the formation of UCF...
July 16, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28727375/an-unanswered-question-in-pediatric-urology-the-post-pubertal-persistence-of-prepubertal-congenital-penile-curvature-correction-by-tunical-plication
#20
Ünsal Ozkuvanci, Orhan Ziylan, M Irfan Dönmez, Omer Baris Yucel, Tayfun Oktar, Haluk Ander, Ismet Nane
OBJECTIVE: The aim of this study is to analyze post pubertal results of pre pubertal tunica albuginea plication with non-absorbable sutures in the correction of CPC. MATERIALS AND METHODS: The files of patients who underwent tunica albuginea plication without incision (dorsal/lateral) were retrospectively reviewed. Patients younger than 13 years of age at the time of operation and older than 14 years of age in November 2015 were included. Patients with a penile curvature of less than 30 degrees & more than 45 degrees and penile/urethral anomalies were excluded...
September 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
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