Factors Affecting Patient Satisfaction in Peyronie Surgery

Abstract

Purpose: Surgical interventions are still the most effective treatment management for peyronie disease, which is the most common cause of penile curvature. We aimed to investigate the factors affecting patient satisfaction in peyronie surgery with functional and cosmetic results. Material method: The records of patients who had been diagnosed with peyronie disease between 2012-2019 and who had been recommended peyronie surgery were retrospectively analyzed. In the 1st year controls, the patients were evaluated together with their preoperative records in terms of erectile capacity, residual /recurrent penile deformity, penile length, and potential complications, and the factors affecting the effects were investigated by measuring their satisfaction levels. Results: Twenty-seven patients undergoing plication surgery (Group 1), and 21 patients undergoing incision and saphenous vein graft surgery (Group 2) were identified. Patient satisfaction was 83.33% in group 1 and 67.14% in group 2. Penile shortening (2.71±1.41 cm) was higher in Group 2 than Group 1 (1.14±0.91 cm). When the parameters affecting the satisfaction of the patients are examined; there was a negative correlation between penile length (p=0.036), presence of erectile dysfunction before surgery (p=0.009), presence of plaque (p=0.002), presence of comorbid diseases (p<0.001), presence of any recurrent complaints (p=0.006) and patient satisfaction. Conclusion: Surgical methods are recommended as the most effective treatment methods in Peyronie disease. Providing a good preoperative information in terms of postoperative penile shortening and curvature recurrence may increase patient satisfaction. © 2020, Pamukkale University. All rights reserved.