Özet:

Purpose: We aimed to share the data of the surgeries we performed in our clinic and compare with other findings in the literature. Methods: 24 patients with Peyronie disease (PH) operated in our clinic between August 2015 and July 2018 were examined retrospectively. While the curvature of 8 patients was not serious (<60°), the curvature of the other 16 was serious (>60°). For those under the curvatory 60°, the Nesbit method, for those above the curvatory 60°, was operated by the venous grafting method. Patients with pre-operative erectile dysfunction (ED), the International Erectile Function Index (IIEF)-5 score and the PH query form (PDQ) results were compared with postoperative values. Anatomic and functional success was assessed. Results: The curvature rate of the 6 patients operated with Nesbit method was 44.16°±2°. The post-operative trace was not observed. The average preoperative penis length of these patients was 12,57±3,1 cm, while the postoperative penis reduction amount was measured to 15±9,2 mm. No patients had ED before surgery. The curvature rate of 18 patients with venous injection was 77.5° ± 9.5°. The post-operative residual curvature degree was detected at 15.41°±9.8°. 12 of the patients operated with this technique had ED, but only 2 were implanted with penile prothesis at the same session because they did not benefit from medical treatment. The IIEF-5 and PDQ scores were statistically significantly improved in both groups (p<0,05). The result: in PD, surgery is the standard method of gold. The appropriate method of surgery should be selected according to the penis curvature degree and the patient's ED condition. Anatomic and functional success is quite satisfying for patients.

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