Penile fibrotic changes after radical retropubic prostatectomy.

摘要: Objective To investigate the type of penile deformity, response to treatment and predictive factors for formation fibrotic changes after radical retropubic prostatectomy (RRP). Patients methods Between July 1996 September 1998, 110 men who had undergone RRP a mean (SD, range) 35 (20, 5–145) months previously were evaluated by one physician their erectile dysfunction. Those affected advised initiate medical therapy possible Peyronie’s disease; charts reviewed they interviewed determine outcome. Results Overall, 45 patients (41%) with dysfunction changes, representing 11% all undergoing in specified period. The primary clinical presentation included curvature 42 (93%) ‘waistband’ deformity 11 (24%; some both); palpable plaques present 31 (69%). On assessing outcome 40 men, 16 (40%) felt that condition improved, half unchanged 10% progressed, within follow-up 24 months diagnosis. Of 14 regularly using vacuum constriction device or injection therapy. No significant could be identified, including use intracavernosal before onset, neurovascular bundle resection, operative duration, estimated blood loss pathological tumour grade stage. Conclusions Penile are but undescribed problem RRP. Although predisposing not most stabilized improved during treatment. Corroborative confirmation this association its aetiology will require prospective studies.