MP28-09 WHAT IS THE RIGHT APPROACH FOR PEYRONIE’S DISEASE SURGERY? COMPARING POSTOPERATIVE WOUND COMPLICATIONS BETWEEN VENTRAL AND SUBCORONAL INCISIONS FOR PATIENTS UNDERGOING PENILE STRAIGHTENING SURGERIES

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You have accessJournal of UrologySexual Function/Dysfunction: Peyronie's Disease (MP28)1 May 2024MP28-09 WHAT IS THE RIGHT APPROACH FOR PEYRONIE'S DISEASE SURGERY? COMPARING POSTOPERATIVE WOUND COMPLICATIONS BETWEEN VENTRAL AND SUBCORONAL INCISIONS FOR PATIENTS UNDERGOING PENILE STRAIGHTENING SURGERIES Amanda K. Seyer, Javier Piraino, Andres Guillen Lozoya, and Matthew Ziegelmann Amanda K. SeyerAmanda K. Seyer , Javier PirainoJavier Piraino , Andres Guillen LozoyaAndres Guillen Lozoya , and Matthew ZiegelmannMatthew Ziegelmann View All Author Informationhttps://doi.org/10.1097/01.JU.0001008872.42208.7a.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Surgical treatment options for Peyronie's disease (PD) include penile plication, plaque excision with grafting, and penile prosthesis placement with straightening maneuvers. Choice of surgical incision depends on location and severity of curve, concomitant procedures, and surgeon preference. The aim of this study was to assess risk of wound complications after PD surgery stratified by ventral versus subcoronal incision type. METHODS: A single surgeon retrospective chart review was conducted for all patients undergoing PD tunica albuginea plication (TAP) or plaque excision with grafting (PEG) from Aug 2019 to June 2023. Wound complication was classified as any dehiscence or physical examination finding suspicious for infection within 30d of surgery. A Mann-Withney U Test was used to compare demographic variables and wound complication rate based on ventral and subcoronal approaches. RESULTS: Of the 161 patients included, 105 underwent TAP and 56 underwent PEG. All patients who underwent PEG had at least one plication suture performed to correct mild residual curvature after grafting. A ventral midline penile incision was used in 81 patients (50%) and subcoronal in 80 patients (50%). Wound complications within 30d of surgery were found in 10 patients (6%), including 8 (10%) with ventral incisions versus only 2 (3%) subcoronal (OR 4.27; 95% CI 0.87-20.79; p=0.09). There was no significant difference in wound complications between TAP and PEG cohorts. Wound complications included dehiscence requiring repeat closure (n=1) and superficial wound infection necessitating antibiotic therapy (n=9). In a subgroup analysis of patients who underwent TAP only, 8 patients (7.6%) with a ventral approach experienced a 30d wound complication compared with 1 patient (3.4%) with a subcoronal approach. CONCLUSIONS: Penile straightening surgeries are associated with a low rate of significant wound infections. While not statistically significant, a ventral incision may have a slightly higher risk than subcoronal for wound complications within the first 30 d of surgery. Both ventral and subcoronal incisions can offer excellent exposure and may be considered for patients requiring plication and/or grafting approaches. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e475 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Amanda K. Seyer More articles by this author Javier Piraino More articles by this author Andres Guillen Lozoya More articles by this author Matthew Ziegelmann More articles by this author Expand All Advertisement PDF downloadLoading ...

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