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abstract

abstract

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Clinical patterns: The big difference between Peyronie´s disease and Chronic traumatic cavernosophaty (CTC)

Uribe, JF1; Uribe, CA1; Zuleta, JJ1; Velez, A1

1: Hospital Pablo Tobon Uribe, Colombia

Introduction: Chronic traumatic cavernosopathy (CTC) is an alternative to the Peyronie's in fibrous penile disease, especially when the tunica albuginea is normal, with its own clinical picture and ultrasound findings.           Objective: identify differences in clinical patterns of patients with Peyronie's disease VS CTC.                     Materials and Methods: We performed a prospective descriptive study with 102 patients, who met criteria for inclusion: have a penile dopler ultrasonography with vasoactive, with findings of some degree of cavernous fibrosis by Peyronie or Chronic Traumatic Cavernosopathy (CTC), according to Levine's classification. Three damage patterns were evaluated: Congenital pattern (dorsal venous leakage, primary curvatures or primary erectile dysfunction), erectile pattern (secondary, total and without dysfunction) and tissue damage pattern (palpable nodules, secondary curvatures, contour deformities and ossification). The study was approved by the research ethics committee of Hospital Pablo Tobon Uribe (Medellin - Colombia).                                                                     Results: CTC 57 vs Peyronie 45 patients, mean age 42 and 57 years, respectively. The clinical history and ultrasound of the penis showed that the congenital pattern, typified by dorsal venous leakage (CTC 51.4% vs Peyronie 2.2%), primary curvatures (CTC 36.8% vs Peyronie 2.2%) and primary ED (CTC 26.3% vs Peyronie 0) predominated in CTC; erectile damage pattern: secondary ED (CTC 71.9% vs Peyronie 62.2%), total ED (CTC 98.2 % vs Peyronie 62.2%) and no erectile dysfunction (CTC 1.7% vs Peyronie 37.7%) predominated in CTC and tissue damage pattern: palpable nodules (CTC 1.7 vs Peyronie 80%), secondary curvatures (CTC 10.5% vs Peyronie 86%), contour deformities (CTC 1.7 vs Peyronie 55.5%) and ossification (CTC 0 vs Peyronie 24%) predominated in Peyronie disease.                                                                             Conclusions: We propose the existence of a fibrous entity in penis extra albuginea, denominated chronic traumatic cavernosopathy (CTC), in which predominates functional damage (erectile damage pattern) with less tissue damage pattern, and increased risk of congenital origin, while in the Peyronie is exactly the opposite.

PATTERNS

Findings

CTC

n = 57

PEYRONIE

n = 45

%

%

 

Congenital

Dorsal venous leakage

51.4

2.2

Primary curvatures

36.8

2.2

Primary ED

26.3

0

 

Erectile damage

Secondary ED

71.9

62.2

No ED

1.7

37.7

Total ED (Primary + Secondary)

98.2

62.2

 

Tissue damage

Palpable nodules

1.7

80

Secondary curvatures

10.5

86

Contour deformities

1.7

55.5

Ossification

0

24

 

 

Disclosure:

Work supported by industry: no.

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