LONG-TERM FOLLOW-UP OF TREATMENT OF PEYRONIES-DISEASE WITH PLAQUE INCISION, CARBON-DIOXIDE LASER PLAQUE ABLATION AND PLACEMENT OF A DEEP DORSAL VEIN PATCH GRAFT

Numerous surgical therapies have been used for Peyronie's disease in p atients who maintain potency. We report on incision and carbon dioxide laser ablation of Peyronie's plaque combined with a deep dorsal vein patch graft in the treatment of 6 men (mean age 57 years). The chief i ndication for surgery was curvature interfering with intromission, wit h voiding difficulty being a secondary indication as well. Long-term f ollowup (mean 31 months) was available in 6 men, each of whom was pote nt preoperatively. Potency was preserved in all men, and 5 described s ignificant improvement in penetration and curvature. In 1 patient the curvature returned to preoperative levels. Each patient reported a sub jective shortening of the penis from one-quarter to 1 inch but no case was functionally debilitating. We describe this technique, which to o ur knowledge has been reported previously by only 1 group with 18 pati ents, and conclude that it may be used with successful preservation of potency and restoration of intercourse in the treatment of Peyronie's plaques.