keyword
https://read.qxmd.com/read/37150512/a-novel-corporoplasty-technique-with-a-urethral-plate-flap-in-hypospadias-repair
#1
JOURNAL ARTICLE
Wei Ru, Ciyuan Feng, Hongjuan Tian, Dehua Wu, Daxing Tang, Chang Tao
OBJECTIVES: To report a novel corporoplasty technique with a urethral plate flap in hypospadias repair and evaluate its safety and efficacy for ventral lengthening. METHODS: Data were retrospectively collected from consecutive patients with hypospadias who underwent urethral plate flap corporoplasty between July 2021 and March 2022. All patients underwent hypospadias repair using the Duckett technique. The corporoplasty procedure involved the following key steps: the half-spongiosum of the urethral plate was harvested as a flap (with a pedicle attached to the corpus cavernosum); a transverse incision of the tunica albuginea was made adjacent to the pedicle; and the flap was patched onto the corporal defect...
May 7, 2023: International Journal of Urology: Official Journal of the Japanese Urological Association
https://read.qxmd.com/read/36991372/the-effectiveness-of-penile-curvature-treatment-by-cavernous-body-rotation-and-plication-of-the-tunica-albuginea
#2
JOURNAL ARTICLE
Vladimir Vorobev, Vladimir Beloborodov, Andrey Sherbatykh, Alexey Kalyagin, Olga Baklanova, Sergei Popov, Stepan Sidorov
BACKGROUND: There are several approaches to the surgical treatment of the penile curvature conditionally divided into three large groups: tunica albuginea plication (TAP), corpus cavernosum rotation (CR), and transplantation of various materials. The study aims to compare the effectiveness of TAP and CR techniques in the treatment of penile curvature. There was a prospective randomized study of the effectiveness of surgical treatment of patients with an established diagnosis of the penile curvature from 2017 to 2020 in Irkutsk, Russian Federation...
March 30, 2023: Basic and Clinical Andrology
https://read.qxmd.com/read/36307369/recurrent-ventral-curvature-after-corporoplasty-with-tunica-vaginalis-flap
#3
JOURNAL ARTICLE
Kathy H Huen, Amanda Macaraeg, Carol A Davis-Dao, Himala Kashmiri, Sarah H Williamson, Timothy Boswell, Julia E Thomas, Zayn Suhale, Kai-Wen Chuang, Heidi A Stephany, Elias J Wehbi, Antoine E Khoury
INTRODUCTION AND OBJECTIVE: Optimal means to correct ventral curvature (VC) is debated. Our preferred technique for curvature greater than 45° is corporoplasty using tunica vaginalis flap (TVF). We describe our complications with TVF for ventral lengthening. METHODS: Forty-four boys who underwent ventral lengthening with a corporoplasty with TVF were identified in a prospective database for proximal hypospadias repair by a single surgeon from 2008 to 2021. Corporotomy was performed by incising the tunica albuginea of the corpora cavernosa transversely at the point of maximum curvature...
October 11, 2022: Journal of Pediatric Urology
https://read.qxmd.com/read/36303674/global-perspective-on-the-management-of-peyronie-s-disease
#4
REVIEW
Gabriel Veber Moisés da Silva, Francisco Javier Dávila, Tiago Elias Rosito, Francisco E Martins
Introduction: Peyronie's disease is the disease that results in an alteration in the curvature of the penis, which can lead to a shortening of length, pain in erection, or difficulties in penetration, thus leading the patient to psychological alterations due to loss of functionality such as aesthetic alteration. That is why there are several studies to define the best form of treatment, which currently continues to be the first choice surgical treatment. Objective: We present the most recommended therapies for Peyronie's disease and suggest an algorithm as a guide to direct therapy...
2022: Front Reprod Health
https://read.qxmd.com/read/36165481/an-original-mininvasive-corporoplasty-technique-for-penile-curvature-without-circumcision
#5
JOURNAL ARTICLE
Antonio Rossi, Giovanni Alei, Pietro Viscuso, Antonio Tufano, Marco Frisenda, Guglielmo Mantica, Pierluigi Bove, Rosario Leonardi, Mauro De Dominicis, Alessandro Calarco
OBJECTIVE: We describe an original minimally invasive penile plication technique with scrotal or infrapubic access, not requiring circumcision, for penile curvature of different severity and types. This technique can be used to correct both congenital and acquired curvatures, mono or bidirectional deformities. MATERIALS AND METHODS: Between 2012 and 2018 we treated 134 patients suffering from congenital curvature (33) and acquired curvature from Peyronie's disease (101)...
September 26, 2022: Archivio Italiano di Urologia, Andrologia
https://read.qxmd.com/read/35945105/corporoplasty-under-local-anesthesia-cost-effective-improvement-of-the-surgical-treatment-of-peyronie-s-disease
#6
JOURNAL ARTICLE
Morales Martínez Ana, Funes Padilla Carlos, Melgarejo Segura Mª Teresa, López Carmona Pintado Fernando, Arrabal Martín Miguel
INTRODUCTION AND OBJECTIVES: Peyronie's disease produces penile curvature that leads, in certain cases, to difficulties in having satisfactory sexual relations. The objective of this study is to evaluate the functional and cost-effectiveness results obtained in the surgical treatment of penile curvature due to Peyronie's disease under local anesthesia, comparing them with those performed under a general-spinal anesthesia regimen. MATERIAL AND METHODS: Two groups of patients undergoing corporoplasty are compared according to the type of anesthesia used...
2022: Revista Internacional de Andrología
https://read.qxmd.com/read/35907485/single-layer-acellular-porcine-bladder-matrix-as-graft-in-corporoplasty-for-ventral-curvature-in-pediatric-proximal-hypospadias-repair-an-initial-experience
#7
JOURNAL ARTICLE
Kathy H Huen, Amanda Macaraeg, Carol A Davis-Dao, Sarah H Williamson, Timothy C Boswell, Kai-Wen Chuang, Heidi A Stephany, Elias J Wehbi, Antoine E Khoury
BACKGROUND: Single-layer ACellࣨ Cytalࣨ matrix (ACell Inc, Columbia, MD) is a commercially available, acellular scaffold derived from porcine bladder epithelial basement membrane and tunica propria. We describe our initial experience using Cytalࣨ as corporal graft in pediatric patients who underwent correction of ventral curvature in proximal hypospadias repair. METHODS: A retrospective review of a single-institution, four surgeon hypospadias database was performed between January 2020 and December 2021...
July 27, 2022: Urology
https://read.qxmd.com/read/35676191/-congenital-penile-curvature-guidelines-from-the-andrology-and-sexual-medicine-committee-of-the-french-association-of-urology-cams-afu
#8
F-X Madec, W Akakpo, L Ferretti, D Carnicelli, J-É Terrier, C Methorst, S Beley, J-P Graziana, V Hupertan, R Yiou, N Morel Journel, F Marcelli, A Faix, É Huyghe
INTRODUCTION: Guidelines regarding congenital penile curvature (CPC) are lacking, and this pathology has not been the subject of French recommendations to date. The Andrology and Sexual Medicine Committee (CAMS) of the French Association of Urology (AFU) propose a series of clinical practice recommendations (CPR) by answering five clinical questions concerning the diagnosis and treatment of this pathology. MATERIALS AND METHODS: After a bibliographic research between 2000 and 2021, followed by a critical reading according to the CRP method...
September 2022: Progrès en Urologie
https://read.qxmd.com/read/35048166/a-meta-analysis-comparing-dorsal-plication-and-ventral-lengthening-for-chordee-correction-during-primary-proximal-hypospadias-repair
#9
REVIEW
Ramesh Babu, V V S Chandrasekharam
PURPOSE: Recurrent chordee (RC) is an important complication of proximal hypospadias repair. In this meta-analysis we compared RC incidence following dorsal plication (DP) versus ventral lengthening (VL). METHODS: We searched the databases to identify all papers between 2001 and 2021 pertaining to proximal hypospadias and recurrent chordee. Duplicate publications, review articles and incomplete articles were excluded. Meta-analysis of heterogeneity was reported with I2 statistics...
March 2022: Pediatric Surgery International
https://read.qxmd.com/read/34996726/surgical-correction-of-adult-congenital-penile-curvature-a-systematic-review
#10
JOURNAL ARTICLE
Cameron J Britton, Francis A Jefferson, Bridget L Findlay, Vidit Sharma, Jonathan Clavell Hernandez, Laurence A Levine, Matthew J Ziegelmann
BACKGROUND: Congenital penile curvature (CPC) is corrected surgically by various corporoplasty or tunica albuginea plication techniques, but the optimal surgical approach is not well-defined. AIM: To provide a comprehensive evaluation of the published literature pertaining to outcomes with penile plication and corporoplasty techniques for surgical management of CPC. To determine if plication or corporoplasty offers superior outcomes in surgical correction of CPC...
February 2022: Journal of Sexual Medicine
https://read.qxmd.com/read/34950646/evaluation-of-bi-layer-silk-fibroin-grafts-for-penile-tunica-albuginea-repair-in-a-rabbit-corporoplasty-model
#11
JOURNAL ARTICLE
Gokhan Gundogdu, Zhamshid Okhunov, Stephanie Starek, Faith Veneri, Hazem Orabi, Sarah A Holzman, Maryrose P Sullivan, Antoine E Khoury, Joshua R Mauney
The use of autologous tissue grafts for tunica albuginea repair in Peyronie's disease and congenital chordee is often restricted by limited tissue availability and donor site morbidity, therefore new biomaterial options are needed. In this study, bi-layer silk fibroin (BLSF) scaffolds were investigated to support functional tissue regeneration of tunica albuginea in a rabbit corporoplasty model. Eighteen adult male, New Zealand white rabbits were randomized to nonsurgical controls (NSC, N = 3), or subjected to corporoplasty with BLSF grafts ( N = 5); decellularized small intestinal submucosa (SIS) matrices ( N = 5); or autologous tunica vaginalis (TV) flaps ( N = 5)...
2021: Frontiers in Bioengineering and Biotechnology
https://read.qxmd.com/read/34839643/urologists-knowledge-base-and-practice-patterns-in-peyronie-s-disease-a-national-survey-of-members-of-the-italian-andrology-society
#12
JOURNAL ARTICLE
Gianni Paulis, Francesca Pisano, Alessandro Palmieri, Tommaso Cai, Fabrizio Palumbo, Bruno Giammusso
Peyronie's disease is a chronic inflammatory disease involving the formation of plaque in the tunica albuginea of the corpora cavernosa, resulting in penis deformity. It is often associated with penile pain, especially in younger patients, but it is not rare for pain to be absent; the disease is also associated with erectile dysfunction and a depressive state in a large percentage of cases. OBJECTIVE: Aim of our study was to explore the basic knowledge base and diagnostic and therapeutic practice patterns in Peyronie's disease (PD) of a large number of physicians belonging to the Italian Andrology Society (SIA)...
October 1, 2021: Archivio Italiano di Urologia, Andrologia
https://read.qxmd.com/read/34818603/circumferential-acquired-macropenis-definition-literature-review-and-proposal-of-geometrically-based-reduction-corporoplasty
#13
REVIEW
Edoardo Stefano Pescatori, Barbara Drei, Salvatore Rabito
INTRODUCTION: Over the years, scattered cases of acquired penile girth increase have been published with different terms, the common clinical feature being a mechanically hampered penetration. AIM: To search for all published cases of acquired penile girth increase, and to propose a geometrically-based reduction corporoplasty. METHODS: A case of acquired penile bilateral albuginea herniation prompted us to a PubMed, EMBASE and Google Scholar literature review from 1970 to 2021, in search for similar conditions...
February 2022: Sexual Medicine
https://read.qxmd.com/read/34430388/clinical-and-penile-doppler-outcomes-using-a-modified-tourniquet-free-nesbit-plication-for-severe-peyronie-s-disease
#14
JOURNAL ARTICLE
Vincenzo Maria Altieri, Francesco Greco, Rocca Carmela Lisanti, Barbara Altieri, Francesco Esperto, Luca Cindolo, Roberto Castellucci, Pier Andrea Della Camera, Giuseppe Massimo Sangiorgi, Vittore Verratti
BACKGROUND: Penile curvature (PC) can be surgically corrected by plication techniques or Nesbit corporoplasty. These shortening techniques can be complicated by post-operative: penile shortening, recurrent PC, palpable suture knots and erectile dysfunction. Furthermore, Nesbit procedures require the use of a penile tourniquet to avoid intraoperative bleeding. This observational study aims to assess the results of Nesbit modified corporoplasty, avoiding intraoperative use of tourniquet without risk of bleeding...
July 2021: Translational Andrology and Urology
https://read.qxmd.com/read/34336247/when-titans-become-weak-penile-prosthesis-cylinder-aneurysm-a-case-report
#15
Catarina Tavares, Rados Djinovic, Bogdan Spiridonescu, Carlos Guerra, Paola Calleja Hermosa, Sasha Sekulovic
During the first 5 years after penile prosthesis implantation, complications such as malfunction requiring revision or replacement occur in only 7% of cases. We present a case of a 62-year-old patient who had a Coloplast Titan® prosthesis implanted while also undergoing girth enhancement corporoplasty. Shortly after, the patient noticed an increasing bulge on the side of his penis, which prevented total deflation. An aneurysm of the right cylinder was identified during reoperation; cylinders were replaced and the redundant tunica albuginea and septal defect were corrected by plication from inside the corpora cavernosa...
2021: Central European Journal of Urology
https://read.qxmd.com/read/34274041/management-of-disastrous-complications-of-penile-implant-surgery
#16
JOURNAL ARTICLE
C Bettocchi, D Osmonov, K van Renterghem, R Djiovic, D J Ralph
RATIONALE: Penile Prosthesis Implantation (PPI) is the definitive treatment for Erectile Dysfunction not responsive to conservative management strategies. Furthermore, it is a staple of surgical treatment of severe Peyronie's Disease (PD) and phallic reconstruction. Expert implantologists occasionally face disastrous complications of penile implant surgery which can prove to be very challenging. In this article we present a selected number of case reports which exemplify this kind of situations and discuss management strategies while also commenting on plausible aetiologies...
July 2021: Journal of Sexual Medicine
https://read.qxmd.com/read/34148821/surgical-reconstruction-of-penile-curvature-due-to-peyronie-s-disease-by-plaque-incision-and-buccal-mucosa-graft
#17
JOURNAL ARTICLE
Yernur Ainayev, Ulanbek Zhanbyrbekuly, Abduzhappar Gaipov, Makhmud Suleiman, Kainar Kadyrzhanuly, Nurlan Kissamedenov, Ulan Zhaparov, Daniyar Akhmetov, Gafur Khairli
BACKGROUND/AIM: We aimed to evaluate the effectiveness and safety of penile plaque incision and buccal mucosa grafting in patients with stable-phase Peyronie's disease (PD). METHODS: This was a prospective evaluation of patients with stable-phase PD who were treated by plaque incision and buccal mucosa grafting. Preoperative evaluation included International Index of Erectile Function Questionnaire (IIEF-5), measurement of erect penile length, and penile Doppler ultrasound during prostaglandin-induced erection...
July 2021: Journal of Sexual Medicine
https://read.qxmd.com/read/33996473/initial-experience-of-a-single-center-with-the-use-of-zsi-475-penile-prosthesis
#18
JOURNAL ARTICLE
Fulvio Colombo, Giorgio Gentile, Valerio Vagnoni, Alessandro Fiorillo, Pietro Piazza, Fabrizio Sartorio, Alessandro Franceschelli
OBJECTIVE: To evaluate surgical outcomes after implantation of the Zephyr ZSI 475 inflatable penile prosthesis (IPP) and patients' quality of life. METHODS: From December 2014 to September 2018, 15 patients underwent prosthesis implantation with ZSI 475. A retrospective review of clinical data was performed. Patients' quality of life after implantation was investigated with Quality of Life and Sexuality with Penile Prosthesis (QoLSPP) questionnaire. RESULTS: The median age of patients was 57 years and the average follow-up time was 22 months...
April 2021: Asian Journal of Urology
https://read.qxmd.com/read/33938977/-prosthetics-after-construction-of-the-outer-genitalia-for-transmen
#19
REVIEW
S C Morgenstern, M Sohn
BACKGROUND: Growing awareness of gender identity issues and a rising prevalence of female-to-male transsexualism is increasing demand for surgical solutions that deliver both aesthetically and functionally satisfying outer genitalia for transmen. OBJECTIVE: This article summarizes the available prosthetic options, describes different surgical approaches and reviews the outcome of prosthetics for transmen with a focus on penile prosthesis in phalloplasty. METHODS: Current international standards of care, reviews and original publications are critically reviewed and correlated with our own experience with more than 400 transmen at two interdisciplinary referral centres in Frankfurt, Germany and London, UK...
June 2021: Der Urologe. Ausg. A
https://read.qxmd.com/read/33926832/modified-partial-penile-disassembly-repair-for-improved-functional-and-cosmetic-outcome-in-isolated-male-epispadias
#20
JOURNAL ARTICLE
Dr Amilal Bhat, Dr Akshita Bhat, Dr Nikhil Khandelwal, Dr Mahakshit Bhat, Dr Bilal Ahmed Dar
INTRODUCTION AND OBJECTIVE: The objective of the study was to evaluate the functional and cosmetic outcome of single-stage modified partial penile disassembly repair in isolated male epispadias. MATERIALS AND METHODS: A retrospective analysis of 15 cases of primary epispadias repair, from June 2015 to December 2018, was performed. Patients were classified by the type of epispadias, urinary incontinence, chordee, and rotation. SURGICAL TECHNIQUE: Penile degloving with the mobilization of the urethral plate from the ventral to the dorsal aspect with the preservation of blood supply at both ends, distally up to the level of mid-glans and proximally up to the pubic symphysis is done...
October 2021: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
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