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Urology. 2019 Jan 22. pii: S0090-4295(19)30067-6. doi: 10.1016/j.urology.2018.12.040. [Epub ahead of print]

Is Degloving the Best Method to Approach the Penile Corporoplasty With Yachia's Technique?

Author information

1
Department of Urology, University Hospital "Ospedali Riuniti", Ancona, Italy. Electronic address: dellatti@hotmail.com.
2
Androlgy Unit, University Hospital "Ospedali Riuniti", Ancona, Italy.
3
Department of Urology, University Hospital "Ospedali Riuniti", Marche Polytechnic University, Ancona, Italy.

Abstract

OBJECTIVE:

To assess functional outcomes after surgical correction of congenital and acquired penile curvatures using Yachia's technique (YT) with degloving (DG) and without degloving (WDG) of the penis.

MATERIALS AND METHODS:

A penile deformity with angle ≥30°, difficulty in vaginal penetration, and severity of erectile dysfunction secondary to penile curvatures were the indications for a surgical treatment with YT. The preoperative characteristics of the patients, postoperative outcomes (change in angulation, palpation of sutures, penile shortening, and patient satisfaction), operative time, and hospital stay were recorded. A total of 64 patients were included in this review and divided into 2 groups: 34 in group I (YT with DG) and 30 in group II (YT-WDG).

RESULTS:

The mean operative time was 65.87 ± 21.32 minutes for group I and 48.17 ± 23.82 minutes for group II (P < .02). The mean hospital stay was 3.09 ± 0.96 and 2.87 ± 0.93 days in DG and WDG, respectively (P = .324). There were no significant differences in recurrence rates and complications (palpation of sutures: group I: 14.7% vs. group II: 13.3%; penile shortening: group I: 8.9% vs. group II: 10%). At follow-up of 20.8 months, all treated patients were able to insert the penis in the partner's vagina, were satisfied overall with sexual intercourse.

CONCLUSION:

The outcomes of the DG and WDG techniques were similar, even if the YT-WDG presents better results in terms of less healing and operative time.

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