Abstract
In 32 men (mean age 54.94 years, range 25–70 years), thresholds for penile thermal and vibratory sensation were recorded before and 3 months after surgery using a genital sensory analyser. The following significant changes were found postoperatively. The cold threshold decreased in the glans from 27.24 to 25.33 °C (P<0.001) in men older than 60 years, and in the ventral penile shaft from 28.54 to 25.46 °C (P<0.001) in men aged 35–59 years. The warm threshold increased in the glans from 38.31 to 40.61 °C (P=0.002) in men aged 35–59 years, and from 39.20 to 40.58 °C in men older than 60 years (P=0.023). The warm threshold also increased in the ventral penile shaft in men aged 35–59 years, from 36.62 to 37.82 °C (P=0.023). For all three age groups combined, the vibratory threshold changed in the glans from 2.33 to 2.93 μm (P<0.001). It is concluded that penile sensitivity changed significantly after surgery for penile curvature treatment, regardless of whether a ventral or dorsal surgical approach is used.
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References
Mulhall JP, Goldstein I . Surgery for impotence. In: Libertino J (ed). Reconstructive Urology. Mosby Year Book: St Louis, 1998 pp, 553–564.
Brant WO, Bella AJ, Lue TF . 16-Dot procedure for penile curvature. J Sex Med 2007; 4: 277–280.
Akkus E, Carrier S, Baba K, Hsu GL, Padma-Nathan H, Nunes L et al. Structural alterations in the tunica albuginea of the penis: impact of Peyronie's disease, ageing and impotence. Br J Urol 1997; 80: 190.
Brock G, Lue TF . Peyronie's disease, a modified treatment. Urology 1993; 42: 300–304.
Devine Jr CJ, Horton CE . The surgical treatment of Peyronie's disease with a dermal graft. J Urol 1974; 111: 44.
Devine Jr CJ, Horton CE . Peyronie's disease. Clin Plast Surg 1988; 15: 405–409.
Gholami SS, Lue TF . Correction of penile curvature using the 16 dot technique: a review of 132 patients. J Urol 2002; 167: 2066–2069.
Yachia D . Corporeal plication for surgical correction of Peyronie's disease. J Urol 1993; 149: 869.
Nesbit RM . Congenital curvature of the phallus: report of three cases with description of corrective operation. J Urol 1965; 93: 230.
Carson CC, Chun JL . Peyronie's disease: surgical management: autologous materials. Int J Impot Res 2002; 14: 329–335.
Kovac JR, Brock GB . Surgical outcomes and patient satisfaction after dermal, pericardial, and small intestinal submucosal grafting for Peyronie's disease. J Sex Med 2007; 4: 1500–1508.
Ralph DJ . Editorial comment on: surgical treatment of Peyronie's disease: a single center experience with 145 patients. Eur Urol 2008; 53: 440.
Smith JF, Walsh TJ, Lue TF . Peyronie's disease: a critical appraisal of current diagnosis and treatment. Int J Impot Res 2008; 20: 445–459.
Savoca G, Scieri F, Pietropaolo F, Garaffa G, Belgrano E . Straightening corporoplasty for Peyronie's disease: a review of 218 patients with median follow-up of 89 months. Eur Urol 2004; 46: 610–614.
Money J, Davidson J . Adult penile circumcision: erotosexual and cosmetic sequelae. J Sex Res 1983; 19: 289–292.
Yang CC, Bradley WE . Innervation of the human glans penis. J Urol 1999; 161: 97–102.
Fowler CJ, Ali Z, Kirby RS, Pryor JP . The value of testing for unmyelinated fibre, sensory neuropathy in diabetic impotence. Br J Urol 1988; 61: 63–67.
Lue TF, Zeineh SJ, Schmidt RA, Tanagho EA . Neuroanatomy of penile erection: its relevance to iatrogenic impotence. J Urol 1984; 131: 273–280.
Bleustein C, Eckholdt H, Arezzo JC, Melman A . Quantitative somatosensory testing of the penis: optimizing the clinical neurological examination. J Urol 2003; 169: 2266–2269.
Bemelmans BL, Hendrikx LB, Koldewijn EL, Lemmens WA, Debruyne FM, Meuleman EJ . Comparison of biothesiometry and neurourophysiological investigations for the clinical evaluation of patients with erectile dysfunction. J. Urol 1995; 153: 1483–1486.
Bemelmans BL, Meuleman EJ, Anten BW, Doesburg WH, Van Kerrebroeck PE, Debruyne FM . Penile sensory disorders in erectile dysfunction: results of a comprehensive neuro-urophysiological diagnostic evaluation in 123 patients. J Urol 1991; 146: 777–782.
Yarnitsky D, Sprecher E, Vardi Y . Penile thermal sensation. J Urol 1996; 156: 391–393.
Fruhstorfer H, Lindblom U, Schmidt WC . Method for quantitative estimation of thermal thresholds in patients. J Neurol Neurosurg Psychiatry 1976; 39: 1071–1075.
Yarnitsky D, Sprecher E, Vardi Y, Brock G, Lue TF . Peyronie's disease, a modified treatment. Urology 1993; 42: 300–304.
Dorfman LJ, Bosley TM . Age-related changes in peripheral and central nerve conduction in man. Neurology 1979; 29: 38–44.
Verbeke G, Molenberghs G . Linear Mixed Models for Longitudinal Data. Springer-Verlag: New York (NY), 2000.
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We thank Rick Mills for English style correction and editorial assistance, Yoram Vardi for his expertise guidance in the evaluation and interpretation of results.
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Rajmil, O., Arrús, J., Fernandez, M. et al. Sensory changes after surgical correction of penile curvature. Int J Impot Res 21, 366–371 (2009). https://doi.org/10.1038/ijir.2009.42
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DOI: https://doi.org/10.1038/ijir.2009.42
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