A comparison of bovine pericardium and tachosil graft procedure for Peyronie's Disease
Fliatouras, C1; Konstantinidis, K1
1: International Andrology, Greece
Purpose: Penile curvature due to Peyronie's disease is often treated with plaque incision or excision and grafting. The advantages of various graft materials have long been debated. We have studied the outcomes of bovine pericardium and tachosil grafts after plaque incision or excision for Peyronie's disease.
Materials and Methods: We have retrospectively studied the outcomes of 102 patients treated for penile curvature due to peyronie’s disease. All patients had a stable disease and were preoperatively potent or with mild erectile dysfunction. In 78 cases we used for the graft bovine pericardium and in 24 cases tachosil. Average postoperative follow up was 10 months
Results: Mean operative time was 62 minutes in the bovine pericardium group and 44 minutes in the tachosil group. Erectile dysfunction required treatment was present in 26 patients(33%) in the bovine pericardium group and in 6 patients(25%) in the tachosil group. No patient required reoperation due to residual curvature in the two groups. In all, 87,2% of the patients were totally satisfied in the bovine pericardium group and 87,5% in the tachosil group.
Conclusions: The results of the bovine pericardium and tachosil grafts were comparable. Decreased operative times and easy application make tachosil an attractive suitable graft. Longer followup and larger patient series are needed to confirm the advantages of tachosil.
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