Scrotal septum detachment during penile plication to compensate for loss of penile length compared with conventional surgical technique

Sun Tae Ahn, Dong Hyun Lee, Hyeong Guk Jeong, Jong Wook Kim, Du Geon Moon

    Research output: Contribution to journalArticlepeer-review

    1 Citation (Scopus)

    Abstract

    Purpose: To evaluate the efficacy and safety of penile elongation featuring simple scrotal septum detachment from the penile base to compensate for the loss of penile length during penile plication in patients with Peyronie’s disease compared with conventional penile plication. Materials and Methods: We conducted a retrospective analysis of 38 patients (24–75 years of age) with Peyronie’s disease who underwent penile plication with or without our novel technique from January 2009 to May 2018. Penile elongation was achieved by release and detachment of the scrotal septum from the penile base to the level of the scrotal fat tissue. The objective outcome of change in stretched penile length (SPL) and the subjective outcome of patient perception of postoperative penile length were compared between groups. Any postoperative complications were recorded. Results: Of the 38 patients, 16 underwent penile plication with scrotal septum detachment (elongation group) and 22 underwent penile plication only (conventional group). The postoperative mean SPL was increased in the elongation group and decreased in the conventional group (1.2±1.3 cm vs.-0.5±0.3 cm, p<0.001). Fourteen of 16 patients (87.5%) in the elongation group reported perceived penile lengthening after surgery, whereas 17/22 patients (77.3%) in the conventional group complained of penile shortening. We encountered no procedure-related complications such as hematoma, infection, or necrosis in either group. Conclusions: Simple detachment of the scrotal septum from the penile base afforded both objective and subjective penile elongation without any severe complications compared with conventional penile plication.

    Original languageEnglish
    Pages (from-to)224-230
    Number of pages7
    JournalInvestigative and clinical urology
    Volume61
    Issue number2
    DOIs
    Publication statusPublished - 2020 Mar

    Keywords

    • General surgery
    • Penile induration
    • Penis

    ASJC Scopus subject areas

    • Urology

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