Congenital and acquired penile deviation treated with the essed plication method

Area of Science:

• Urology
• Surgical Techniques
• Andrology

Background:

• Penile curvature, whether congenital or acquired (e.g., Peyronie's disease), requires surgical correction.
• The Essed and Nesbit procedures are surgical options for correcting penile deformities.
• Comparing the efficacy and outcomes of these procedures is crucial for patient care.

Purpose of the Study:

• To evaluate the outcomes of the Essed procedure for penile curvature.
• To compare the Essed procedure's results with existing literature on both Essed and Nesbit procedures.
• To assess recurrence rates, patient comfort, and functional outcomes.

Main Methods:

• The Essed procedure was performed on 61 patients between 1991 and 1996.
• Patients had either congenital penile deviation (65.6%) or Peyronie's disease (34.4%).
• Nonabsorbable sutures were used to plicate the tunica albuginea.

Main Results:

• The overall recurrence rate was 29.5%, higher in Peyronie's disease patients (42.9%) than congenital cases (22.5%).
• De novo erectile dysfunction occurred in 3.3% of Peyronie's disease patients.
• 32.8% reported discomfort from palpable sutures, impacting intercourse in only one case; 45.9% noted penile shortening.

Conclusions:

• The Essed procedure shows a higher recurrence rate compared to the Nesbit procedure, particularly in Peyronie's disease.
• Both techniques have a low incidence of erectile dysfunction.
• The Essed procedure's higher rate of suture-related discomfort suggests the Nesbit procedure may be superior.