Here are two studies on long term patient (dis)satisfaction.
http://www.urotoday.org/careers--training/educational-opportunities/fiveyear-followup-of-peyronies-graft-surgery-outcomes-and-patient-satisfaction-abstract-2233337.htmlFive-year follow-up of Peyronie's graft surgery: Outcomes and patient satisfaction - Abstract Friday, 10 December 2010
St Joseph Health Care-Urology, London, Ontario, Canada.
University of Western Ontario, London, Ontario, Canada.
Graft surgery for Peyronie's disease (Peyronies Disease) is associated with significant long-term risks.
To evaluate the clinical and functional outcomes of graft repairs with a minimum of 5-year follow-up.
A retrospective review of database and third party telephone survey was undertaken in all men who underwent reconstructive graft procedures for Peyronies Disease between May 1999 and May 2005.
Patient demographics, International Index of Erectile Function (IIEF-5) scores, and penile Doppler ultrasonography were performed preoperative. Follow-up assessments included surgical outcomes and overall patient satisfactions.
A total of 86 patients with an average age of 54.6 (34 to 73) years underwent Peyronie's graft repair. The average follow-up was 98 (61 to 120) months. Twenty patients received dermal graft whereas 33 patients underwent Tutoplast graft and 33 patients had Stratasis small intestinal submucosa graft. Penile curvature greater than 60 degrees was more common in the Tutoplast and Stratasis groups. Twelve patients used phosphodiesterase type 5 inhibitors or intracavenous agents preoperatively. At the time of review, only 46 (53%) patients were able to be contacted and consented for telephone interview. Although 6 months of postoperative follow-up showed excellent resolution, or significantly less, penile curvature, this figures decreased to 50% in dermal, 87% in Tutoplast, and 76% in Stratasis patients. Further penile length shortening was also reported on patient self-assessment at the recent follow-up. Worsening of IIEF-5 scores were noted with the development of
erectile dysfunction was more pronounced in the diabetic cohort (P<0.01).
The overall satisfaction on a 5-point scale was 2.6 with more than 65% of patients dissatisfied with the outcomes of the Peyronie's graft surgery. The recurrence of penile curvature, penile length loss, and the new-onset of Erectile Dysfunction are not uncommon sequelae and are associated with a significant patient dissatisfaction rate when a 5-year follow-up is achieved. http://www.ncbi.nlm.nih.gov/pubmed/18387398Urology. 2008 Apr;71(4):698-702.
Subjective patient-reported experiences after surgery for Peyronie's disease: corporeal plication versus plaque incision with vein graft.Kim DH, Lesser TF, Aboseif SR.
Department of Urology, Kaiser Permanente Medical Center, Los Angeles, California 90027, USA.
Abstract
OBJECTIVES: To compare patient-perceived outcomes of corporeal plication to
plaque incision with saphenous vein grafting for the correction of Peyronie's disease.
METHODS: Patients with stable Peyronie's disease deemed to be good operative candidates for both tunical plication and
plaque incision with saphenous vein graft were counseled on both procedures and chose which operation they would undergo. At 1 year, the records were reviewed and the patients were contacted. The variables included age, operative time, and outcome ("satisfactorily straight," loss of rigidity, loss of sensation, new use of erectile aids, ability to have intercourse, palpable nodules, erectile pain, penile shortening, and being "completely satisfied").
RESULTS: Of the 67 patients, 35 underwent tunical plication and 32 underwent
plaque incision with vein grafting. No differences were present in patient age between the two groups. The average operative time was shorter for the plication group (P = 0.0001). No differences were found regarding satisfactory straightness (P = 0.13), satisfaction with the operation (P = 0.71), new use of erectile aids (P = 0.06), erectile pain (P = 0.12), or subjective penile shortening (P = 0.41).
Patients who underwent plaque incision with grafting were more likely to experience loss of rigidity (P = 0.03), inability to have intercourse (P = 0.05), and loss of sensation (P = 0.0045). Patients who underwent plication were more likely to experience palpable nodules (P = 0.03).
CONCLUSIONS: The results of our study have shown that both procedures are effective surgical options for the correction of Peyronie's disease. Plication is a simple procedure with less morbidity. Shortening is a common complaint, regardless of the type of operation done.