Treatment of penile curvature with Essed-Schröder tunical plication: aspects of quality of life from the patients’ perspective

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...

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Main Authors: Horst, Christof van der (Author) , Martínez y Portillo, Francisco-José (Author) , Seif, Christoph (Author) , Alken, Peter (Author) , Jünemann, Klaus-Peter (Author)
Format: Article (Journal)
Language:English
Published: 2004
In: BJU international
Year: 2004, Volume: 93, Issue: 1, Pages: 105-108
ISSN:1464-410X
DOI:10.1111/j.1464-410X.2004.04566.x
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1111/j.1464-410X.2004.04566.x
Verlag, lizenzpflichtig, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1464-410X.2004.04566.x
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Author Notes:C. Van Der Horst, F.J. Martínez Portillo, C. Seif, P. Alken and K.P. Juenemann
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Summary: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.
Item Description:Gesehen am 01.03.2022
First published 17 December 2003
Physical Description:Online Resource
ISSN:1464-410X
DOI:10.1111/j.1464-410X.2004.04566.x