Examining Postoperative Outcomes after Employing a Surgical Algorithm for Management of XXXX : A Single-Institution Retrospective Review.

@entity1 @entity545 @entity2003 @entity458
AIM: Surgery remains the gold standard treatment for @entity1 with stable @entity545 ( @entity545 ). In an attempt to guide operative selection, we report our series of penile-straightening procedures for @entity545 , using a surgical algorithm that recommended tunica albuginea plication (TAP), partial plaque excision and grafting (PEG) or inflatable penile prosthesis (IPP) placement. With this study, we attempt to further refine surgical approach, define realistic surgical outcomes, and help establish reasonable postoperative expectations for treatment of @entity545 . METHODS: We retrospectively reviewed all @entity1 who underwent surgery for @entity545 at our institution between 2007 and 2013. Work-up involved a history, physical exam, and a duplex ultrasound. Several questionnaires were employed to assess bother and distress associated with @entity545 . Objective outcomes and @entity1 satisfaction were assessed postoperatively. Primary outcomes include postoperative @entity1 satisfaction with @entity2003 , curvature, and ability to engage in intercourse. Secondary outcomes include comparing emotional, relationship, and @entity458 to severity of disease. RESULTS: A total of 390 @entity1 underwent penile-straightening procedures for correction of @entity545 . Of these @entity1 , 29%, (n   =   114) underwent TAP, 41% (n   =   159) PEG, and 30% (N   =   114) IPP. Mean follow-up was 17 months. The three surgical modalities showed no significant difference in satisfaction with @entity2003 , presence of bothersome residual curve, or ability to engage in intercourse. Preoperatively, 80% of @entity1 reported a negative effect of @entity545 on their emotional status. Postoperatively, 88.4% of @entity1 were able to engage in penetrative intercourse, while only 70% were satisfied with @entity2003 and 84.9% were satisfied with curvature correction. CONCLUSION: @entity1 experience with @entity2003 , ability to engage in intercourse, and residual bothersome curve was not statistically different across the three groups, supporting the use of this surgical algorithm. The majority of @entity1 with @entity545 experience some @entity458 , which may compromise @entity1 satisfaction. Papagiannopoulos D, Yura E, and Levine L. Examining postoperative outcomes after employing a surgical algorithm for management of @entity545 : A single-institution retrospective review. J Sex Med **;**:**-**.
