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Treatment of penile curvature with Essed‐Schröder tunical plication: aspects of quality of life from the patients’ perspective
Author(s) -
Van Der Horst C.,
Martínez Portillo F.J.,
Seif C.,
Alken P.,
Juenemann K.P.
Publication year - 2004
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/j.1464-410x.2004.04566.x
Subject(s) - penile curvature , medicine , peyronie's disease , erectile dysfunction , erectile function , tunica albuginea (penis) , quality of life (healthcare) , sexual function , surgery , penis , sexual intercourse , population , nursing , environmental health
OBJECTIVES To investigate retrospectively the long‐term functional results and quality of life of patients undergoing the Essed‐Schröder procedure (a simple plication of the tunica albuginea) to correct penile deviation, using a standardized questionnaire. PATIENTS AND METHODS Between 1998 and 2001, 59 patients had surgery in our hospital to correct penile deviation (mean age 40 years at the time of surgery; mean follow‐up 30 months for this study). All 59 patients received a standardized questionnaire via mail, of which 50 could be assessed as valid. RESULTS Of the 50 patients, 22 had a congenital penile deviation and 28 Peyronie's disease. In all patients the penis was completely straightened. The proportion of patients capable of sexual intercourse was significantly higher after surgery (90%) than before (62%). The frequency of pain during intercourse was halved. Of the 50 patients, 60% would have the same operation again, 32% were undecided and 8% would not; 22% were dissatisfied with the results. None of the patients had complete erectile dysfunction after surgery; 74% reported a decrease in penile length and 78% of the patients’ partners were satisfied with the outcome. CONCLUSIONS The tunical plication procedure is simple and minimally invasive for correcting penile deviation. In the opinion of most patients the Essed‐Schröder method provides a significant improvement in sexual function and quality of life with maximum protection of erectile function.