(481) Experience with Plaque Excision and Dermal Grafting in the Surgical Treatment of Peyronie's Disease

Abstract Introduction Plaque incision and grafting (PIG) is indicated for men with complex or severe penile curvature, several surgical options to treat PD have been performed. Surgical treatment use graft, as these procedures aim maintain length. Objective To assess outcomes following plaque excision dermal in the of Peyronie's disease. Methods A prospective study, was performed at Binh Dan Hospital (Ho Chi Minh City – VietNam), from 1/2016 12/2020. correction curvature when duration >12 months, stable phase >6 all case technique. Results our study 52 patients, - History illnes: 42.1% diabetes, 26.3% hypertension, 36.84% hyperlipid. Age mean: 58.31 ± 8.5 years (min: 48 max 72). Chief complaine: deformities (36.8%), pain (31.6%), palpable lumps (26.3%). 52.6% psychological effects. Fibrous on corpus: Anterior (5.2%), Mid (47.37%), Posterior (47.37%). size: 72.59 75.78mm2 (15.51 mm2 207 mm2). + Primary outcome measures Complications (follow one month): alter sensation (16.7%), edema (21.05%), infection (1.9%), (10.53%) Penile straightening: 89%. length: no changes (82.7%), shorter (17.3%). Secondary Recurrent curvature: 3 cases 01 need operation second time. Post-operative erectile dysfunction: 7 (13.46%). Patient satisfaction: 82.3% Conclusions mainstay treatment. Dermal graft: effectiveness terms satisfaction, length change, straightening, economic efficiency complications. Suitable patients underlying medical conditions. Adequate preoperative patient counseling. Disclosure No