Yachia Corporoplasty Offers Long-Term Peyronie's Relief
Single-institution study finds most patients satisfied with the results.
ORLANDO—Yachia corporoplasty (YC) is a simple and effective procedure for the treatment Peyronie's disease (PD), researchers concluded in a presentation at the American Urological Association 2014 annual meeting.
Long-term outcomes show procedural durability with a high degree of patient satisfaction, improvement in symptoms, and enhancement of sexual experience, according to John M. Kelley, MD, of the Georgia Regents Health System in Augusta, and colleagues. Most patients who have undergone the procedure say they would repeat it.
At their institution, YC, which is a modified Nesbit plication, is performed creating an artificial erection. Opposite the angle of curvature, a longitudinal corporotomy is made and closed transversely in Heineke-Mikulicz fashion. From October 1998 to April 2012, 94 patients underwent the procedure for PD. Of these, 73 (78%) had follow-up and 45 (48%) were available for a telephone survey.
Patients had a median age of 56 years (range 16-75 years). The median degree of preoperative curvature was 60° and the most common direction was lateral curvature. The median postoperative degree of curvature was 0°. The mean follow-up time from surgery to the telephone survey was 4.6 years.
A total of 39 patients (87%) felt improved sexual experience and 40 (89%) denied erectile pain, although 42 patients felt like their penis was shorter. The median patient satisfaction score on a 5-point Likert scale was 3.5, and 35 patients (78%) said they would have YC again.