Notre experience des resections etendues de l’albuginee associees aux implants peniens dans les formes severes de la maladie de La Peryronie

Resume

Après avoir défini les formes sévères de la maladie de La Peyronie, les auteurs repellent les principales techniques connues et proposent une simplification: recouvrement par le FASCIA DE BUCK seul, ou une membrane bilogique artiflcielle résorbable.

22 observations sont analysées avec un recul de 12 à 60 mois. Les résultats montrent que la rectitude penienne est constante, et que l’allongement est de 4 cm en moyenne. L’érection autour des implants existe, la sensibilité du gland et l’éjaculation réapparaissent en 4 mois en moyenne.

Abstract

Advanced stages of La Peyronie’s disease, with severe recurvation are defined, for which radical surgery is necessary; some well-known techniques are re-called, especially the famous AUSTONI’s procedure.

A simplification of this wonderfull operation is possible and described, after large plaque removal and prosthesis implantation, no graft seems indispensable. Bücks Fascia, containing the dorsal nervour-vascular bundle, often thinck, infiltrated by sclerosis, and resistant, is able to cover perfectly the defect. In addition was sometimes used a biologic artificial absorbable membrane.

22 cases are reported and the results after 12 to 60 months carefully studied. A majority are satisfied: lenght of the penis, sensibility of the glands, additionnal erections around implants are noted. Sexual intercourse begin again after 60 days, and 120 days are usually sufficient to reach the best.