AI Article Synopsis
- The study aimed to assess the effectiveness of using buccal mucosa to replace plaque in patients with Peyronie's disease, a condition causing penile curvature.
- A total of 27 patients underwent surgery, with ages ranging from 24 to 72, and various plaque locations and sizes were documented.
- Results showed that 21 out of 24 patients achieved complete straightening of the penis, and buccal mucosa is recommended for its stable properties and minimal complications in treatment.
Article Abstract
Objective: To evaluate the clinical results of the replacement of plaque by buccal mucosa in the treatment of Peyronie's disease.
Methods: We performed surgical replacement of the plaque by free autograft of buccal mucosa on 27 patients with Peyronie's disease, ranging in age from 24 to 72 years (mean 53), varying in disease course between 1 and 13 years, with a penile curvature angle of 30 degrees - 80 degrees in erection. Of the total number, 15 patients had the plaque located in the dorsal root, 6 in the dorsal shaft, 3 in the subcoronal shaft and 3 in the ventral shaft of the penis; 24 had 1 plaque, 2 had 2 and 1 had 3, ranging in size from 0.7 cm x 0.7 cm to 1.6 cm x 1.0 cm.
Results: Satisfactory results were achieved in all the cases, with no such complications as hematoma, infection, oral numbness, and tightness of the mouth. Of the 24 cases that were followed up for 0.5 to 7 years, complete straightening of the penis was achieved in 21, slight residual curvature (< 15 degrees) was noted in 3, a little shortening of the penis (< 1 cm) in 2, and erectile pain in 3.
Conclusion: Buccal mucosa, with a stable elasticity and no shrinkage, can be recommended for wide use in the surgical treatment of Peyronie's disease.
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