1. The use of collagen fleece to correct residual curvature during inflatable penile prosthesis implantation (PICS technique) in patients with complex Peyronie disease: a multicenter study
- Author
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Marco Falcone, Mirko Preto, Federica Peretti, Paolo Gontero, Nikolaos Pyrgidis, Ioannis Sokolakis, and Georgios Hatzichristodoulou
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Psychiatry and Mental health ,Endocrinology ,Reproductive Medicine ,Urology ,Endocrinology, Diabetes and Metabolism - Abstract
BackgroundThe PICS technique (penile implant in combination with the sealing) was recently described as a valuable option to correct residual curvature during inflatable penile prosthesis (IPP) implantation in patients with complex Peyronie disease (PD).AimTo report the surgical and functional outcomes of the PICS technique in a multicentric series of patients.MethodsA consecutive series of patients with complex PD who underwent PICS were recruited. Patients were from 2 European tertiary referral centers. Data regarding baseline characteristics and perioperative, postoperative, and functional outcomes were retrospectively evaluated.OutcomesComplete penile straightness, duration of operative time and hospital stay, as well as postoperative complications (including hematoma, IPP infection, and IPP mechanical failure) were recorded, whereas functional outcomes were evaluated through the administration of validated questionnaires at baseline and 12 months postoperatively: International Index of Erectile Function–5, Sexual Encounter Profile questions 2 and 3 (SEP-2 and SEP-3), and Erectile Dysfunction Inventory of Treatment Satisfaction.ResultsThirty-seven patients with a median age of 62 years (IQR, 57–70 years) were enrolled. Median preoperative curvature was 75° (IQR, 65°-77°). Median residual curvature after IPP implantation was 60° (IQR, 50°–70°). Overall, 31 patients (84%) achieved a totally straight penis. Only 6 patients (16%) experienced a residual penile curvature (Clinical ImplicationsComplex PD is an end-stage disease featured by severe penile curvature, penile shortening, and erectile dysfunction: the gold standard approach is deemed to be penile prosthesis implantation, aiming to address penile curvature and erectile dysfunction, but in a limited percentage of cases, additional maneuvers are deemed necessary to manage residual penile curvature.Strengths and LimitationsOur study has some limitations: the retrospective nature, relatively short follow-up, and limited number of patients.ConclusionThe PICS technique may represent a reliable and effective treatment option to address significant residual curvature after IPP implantation.
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- 2023
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