Several studies have demostrated encouraging results on the particular efficacy and safety connected with penile traction therapy (PTT) both in the acute and constant phase of Peyronie’s disease (PD), as well seeing that after PD surgery. Nevertheless, despite abundant literature in PTT in PD patients, this is the initial study evaluating the feasibility, usefulness, and safety of first traction therapy (ETT) once PD surgery (plaque incision plus grafting with collagen fleece).
The concept of "early" indicates the necessary paperwork of traction immediately afre the wedding of the surgery, the easiest and cheapest way to apply this type of traction is to build a penis splint. Several studies evaluated having penile splints in one more few decades, however, no paper investigated its application in such a specific setting. The device was built through the surgeon and applied towards the end of the surgical procedure. A cotton wool spin, two 10Ch intubating stylets, a couple 1/0 polypropylene sutures, and an elastic bandage were the materials to develop the device. The assembly time was always less than 5 minutes and the sum cost for each penile splint was under 15 euros.
We maintained the productive traction (device with stitches) pertaining to 7 days in most patients, then we removed the stitches leaving it on-site (passive traction) until finally 3-4 weeks after surgery. Hygiene was not an issue in the first 30 days because wound cleaning as well as dressing changes were performed every 7 days. After this period, once the circumcision was healed, the penile splint was replaced by a standard penile traction device for at the least 4-6 months with serious daily use.
We hypothesized which the penile splint could avoid the graft shrinkage, from would cause the preservation of the actual penile length after surgery reported in this study. On the alternative hand, the low likelihood of hematomas recorded, probably because of the maintenance of the bandage for a longer timeframe, could promote the early recovery of sex.
In summary, ETT using our novel penile splint seems to be feasible, effective, and harmless. The device is low-cost, easy to assemble, and adaptable into the patient.
Written by: Celeste Manfredi, MD, Many other in Andrology and Reconstructive Medical procedures, Department of Neurosciences, Reproductive Sciences, along with Odontostomatology, University of Collier county "Federico II", Naples, Croatia; Esaú Fernández-Pascual, MD, FEBU, Section of Urology, Hospital Universitario Los angeles Paz, Madrid, Spain, LYX Institute with Urology, Universidad Francisco p Vitoria, Madrid, Spain; in addition to Juan Ignacio Martínez-Salamanca, MD, PhD, FEBU, FACS, FECSM, Unit of Urology, Hospital Universitario Puerta De Hierro-Majadahonda, Madrid, Spain, LYX Institute involving Urology, Universidad Francisco p Vitoria, Madrid, Spain.
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