Buccal mucosa graft in surgical management of Peyronie’s disease: Ultrasound features and clinical outcomes

Introduction: Plaque incision and grafting represent the best surgical approach to Peyronie’s Disease (PD). The procedures must be restricted patients with normal preoperative status, excessive curvature and/or deformities. However, ideal graft has not been identified yet. Buccal mucosa grafts (BMG) provided excellent short-term results, ensuring fast return of spontaneous erections preventing shrinkage, which is main cause failure. Another fearsome complication de novo erectile dysfunction (ED). We report our results BMG focusing on analysis ultrasonographic clinical data demonstrating buccal as determinant factor that allow avoid complications. Materials methods: From 2013 2019 we performed at Urology Unit 27 corporoplasties correct complex penile due PD. Clinical, post-surgical ultrasound follow up were evaluated. All no responders medical treatment or previous procedures. evaluation period was 72 months. Data regarding pre-operative work-up, including IIEF (IIEF-5) questionnaire administration, detailed history dynamic (PGE1-induced erection) collected. time erection resumption recorded for each patient. To improve blood supply graft, a low-dose PDE5-i prescribed all two months, starting immediately after discharge. Check-ups scheduled every 3 from 1 month surgery. In visit, underwent features. After 6 12 Erection Hardness Score determination, then standard yearly. Our analyses focused major success. Results: Mean age 57 years (42-71) maximum months minimum 3. Site dorsal in 18 (67%) patients, ventral 2 (7%), 7 (26%). degree < 60° 11 (41%) > 16 (59%). Straightening penis reached 100% cases. Penile shortening resulted 7.4% (2/27). De ED appeared 2/27 cases post-operative rate PDE5i users increasing 14 (45% vs 52%). Ultrasound aspects BMG, hypoechoic plaque an iperechoic rim become isoechoic over No case scars seroma registered. Small intra-graft cystic lesions highlighted (11%).Conclusions: may good choice PD management. functional obtained by related anatomical characteristics patch series use ultrasound, during period.