ORLANDO—Sensation loss is not uncommon following plaque incision and grafting surgery (PIG) for Peyronie’s disease when performed dorsally, but it decreases in frequency and severity over time, researchers concluded in a poster presentation at the American Urological Association 2014 annual meeting.
Raanan Tal, MD, and colleagues at Memorial Sloan-Kettering Cancer Center in New York studied 60 patients who underwent the procedure.
The men had a mean age of 52 years and mean follow-up of 16 months. The mean duration of surgery was 3.5 hours. Patients had in-office follow up at 1 week, 1 month, and 6 months, and were followed up by phone at 12 months or more if problems continued.
Postoperatively, sensory loss was reported by 20% of patients at 1 week, 20% at 1 month, and 7% at 6 months. Two of the 60 patients had sensory loss at 1 year. A single patient at 2 years continued to have extensive sensation loss on the glans and distal shaft, the researchers reported.
The only predictor of sensory loss was duration of surgery, with duration greater than 4 hours predicting sensation loss at 6 months.
“Longer operations are more likely associated with sensation loss, likely related to difficult neurovascular bundle elevation,” the authors wrote.