Articles Vol. 63 No. chuyên đề 2-HN Y học Giới tính (2022) 18/11/2022

SURGICAL REMOVAL OF THE FIBROSIS AND GRAFTING WITH SAPHENOUS VEIN IN TREATING PEYRONIE DISEASE: TWO CASE REPORTS

Nguyen Huu Thao1,2, Nguyen Quang1,2, Trinh Hoang Giang1,2, Luu Quang Long1,2, Nguyen Tien Dung3,4, Tran Trung Thanh5,6, Nguyen Duy Khanh1,2, Bui Van Quang1,2, Cao Dac Tuan1,2
1 Viet Duc University Hospital
2 Bệnh viện Hữu nghị Việt Đức
3 University of Medicine and Pharmacy - Vietnam National University, Hanoi
4 Trường Đại học Y Dược, Đại học Quốc gia Hà Nội
5 Hanoi Medical University
6 Trường Đại học Y Hà Nội
Corresponding author: dr.huuthao@gmail.com
DOI: 10.52163/yhc.v63i7.486
18 Views
0 Downloads
Keywords
Case report, Peyronie disease, removing the fibrosis, grafting with saphenous vein.
Abstract

Treatment of La Peyronie by plaque incision and by saphenous vein graft is a surgical
method to lengthen the tunica albuginea. This method is currently one of the best methods to
treat La Peyronie. Open surgery to take the saphenous vein graft is still the popular method.
However, by advances in endoscopic surgery, endoscopic saphenous vein graft is applied.
Report of 2 clinical cases: A 68-year-old male patient was diagnosed with La Peyronie.
He had difficulty in sexual intercourse for 3 years. The size of the cavernous sclerosis mass
in the middle of the dorsal penis is 3x2 cm. The surgery takes 150 minutes. The patient
was hospitalized for 7 days. The urinary catheter is kept for 1 day. The femoral drainage
is withdrawn after 6 days. During the hospital stay, there were no haemorrhage and no
infection complications.
A 54-year-old man has a fibrous mass in the middle of the ventral surface of the penis.
The size of the fibrous mass is 2 x 1.5 cm. The surgery takes 120 minutes. The patient
was hospitalized for 7 days. The urinary catheter is kept for 1 day. The femoral drainage
is withdrawn after 6 days. During the hospital stay, there were no haemorrhage and no
infection complications. The patient had edema of the right thigh. After treated with antiinflammatory therapy, the patient was stabilized.
Conclusion: The surgical reconstruction using the saphenous vein graft to treat La Peyronie
is a safe surgical method with the high treatment efficiency. Endoscopic saphenous vein
graft is an effective method to take the saphenous vein.

References
[1]
Hauck EW, Weidner W, François de la Google Scholar
[2]
Peyronie and the disease named after him, Google Scholar
[3]
The Lancet, 2001; 357 (9273): 2049-2051. Google Scholar
[4]
Nguyễn Quang, Bệnh học nam khoa cơ bản, Google Scholar
[5]
Nhà xuất bản Y học, 2012; p156-158. Google Scholar
[6]
Gonzalez-Cadavid NF, Rajfer J, Mechanisms Google Scholar
[7]
of disease: new insights into the cellular and Google Scholar
[8]
molecular pathology of Peyronie’s disease, Google Scholar
[9]
Nature Clinical Practice Urology, 2005; 2 Google Scholar
[10]
(6): 291-297. Google Scholar
[11]
Ralph D, Gonzalez‐Cadavid N, Mirone V et Google Scholar
[12]
al., The management of Peyronie’s disease: Google Scholar
[13]
Evidence‐based 2010 guidelines, The journal Google Scholar
[14]
of sexual medicine, 2010; 7 (7): 2359-2374. Google Scholar
[15]
Gelbard M, Lipshultz LI, Tursi J et al., Phase Google Scholar
[16]
b study of the clinical efficacy and safety Google Scholar
[17]
of collagenase Clostridium histolyticum in Google Scholar
[18]
patients with Peyronie disease, J Urol, 2012; Google Scholar
[19]
(6): 2268-2274. Google Scholar
[20]
Kadioglu A, Akman T, Sanli O et al., Google Scholar
[21]
Surgical treatment of Peyronie’s disease: a Google Scholar
[22]
critical analysis, European urology, 2006; 50 Google Scholar
[23]
(2): 235-248. Google Scholar
[24]
Kumar R, Nehra A, Surgical and minimally Google Scholar
[25]
invasive treatments for Peyronie’s disease, Google Scholar
[26]
Current opinion in urology, 2009; 19 (6): Google Scholar
[27]
-594. Google Scholar
[28]
Jas Kalsi, The results of plaque incision and Google Scholar
[29]
venous grafting (Lue procedure) to correct Google Scholar
[30]
the penile deformity of Peyronie’s disease, Google Scholar
[31]
BJU International, 2005; 95 (7): 1029-1033. Google Scholar
[32]
Kadioglu A, Sanli O, Akman T et al., Graft Google Scholar
[33]
materials in Peyronie’s disease surgery: a Google Scholar
[34]
comprehensive review. The journal of sexual Google Scholar
[35]
medicine, 2007; 4 (3): 581-595. Google Scholar