Research ArticleOpen AccessGoogle Scholar indexed

OJU Peyronie’s Disease in an Elderly Ghanaian Gentleman —A Case-Report and Literature Review

¹ Faculty of Surgery, School of Medicine, University of Health and Allied Sciences, Ho, Ghana
² Department of Surgery, Ho Teaching Hospital, Ho, Ghana
³ Department of Surgery, Ho Teaching Hospital, Ho, Ghana
⁴ Department of Surgery, Ho Teaching Hospital, Ho, Ghana
⁵ Department of Surgery, Ho Teaching Hospital, Ho, Ghana
⁶ Department of Surgery, Ho Teaching Hospital, Ho, Ghana
⁷ School of Medicine, University of Health and Allied Sciences, Ho, Ghana
⁸ School of Medicine, University of Health and Allied Sciences, Ho, Ghana
⁹ School of Medicine, University of Health and Allied Sciences, Ho, Ghana
¹⁰ School of Medicine, University of Health and Allied Sciences, Ho, Ghana
¹¹ School of Medicine, University of Health and Allied Sciences, Ho, Ghana
¹² School of Medicine, University of Health and Allied Sciences, Ho, Ghana
¹³ School of Medicine, University of Health and Allied Sciences, Ho, Ghana
¹⁴ School of Medicine, University of Health and Allied Sciences, Ho, Ghana
¹⁵ School of Medicine, University of Health and Allied Sciences, Ho, Ghana
¹⁶ School of Medicine, University of Health and Allied Sciences, Ho, Ghana
¹⁷ Faculty of Surgery, School of Medicine, University of Health and Allied Sciences, Ho, Ghana
¹⁸ Faculty of Surgery, School of Medicine, University of Health and Allied Sciences, Ho, Ghana
¹⁹ Faculty of Surgery, School of Medicine, University of Health and Allied Sciences, Ho, Ghana

Open Journal of Urology·Volume 14 (2024)·Pages 519–531·Published 11 October 2024·DOI10.4236/oju.2024.1410054

Abstract

Background : Peyronie’s disease is characterized by fibrous plaque formation in the tunica albuginea, leading to penile curvature and sexual dysfunction. Surgical correction is often required in cases of severe deformity or significant functional impairment. Aim : To present the case of a patient with severe Peyronie’s disease who underwent surgical correction using an autologous fascia lata graft. Case Presentation : We report the case of a 77-year-old Black-African gentleman with Peyronie’s disease, presenting with a self-reported penile curvature of 70 degrees and significant sexual frustration. He was managed surgically with plaque excision followed by a tunica albuginea patch using a subcutaneously harvested autologous fascia lata graft, all performed in a single surgical session. Conclusion : This case highlights the importance of individualized surgical planning and patient-specific considerations in achieving optimal outcomes in the management of Peyronie’s disease, particularly in cases requiring grafting for severe curvature.

KeywordsPeyronie&#8217s DiseasePenile TraumaTunica AlbugineaPenile DeformitySexual FrustrationCareful DiagnosisTailored-Surgical TherapyCalcific-PlaquesAutologous Fascia Lata GraftWater-Tight Repair

Levine, L.A. and Larsen, S.M. (2012) Surgery for Peyronie’s Disease. Asian Journal of Andrology , 15, 27-34. https://doi.org/10.1038/aja.2012.92
Ziegelmann, M.J., Bajic, P. and Levine, L.A. (2020) Peyronie’s Disease: Contemporary Evaluation and Management. International Journal of Urology , 27, 504-516. https://doi.org/10.1111/iju.14230
Kyei, M.Y., Mensah, J.E., Asante, E., Bray, L.D. and Awukuasabre, J. (2017) Peyronie’s Disease in People of African Origin: A Mini Review Peyronie’s Disease in People of African Origin: A Mini Review.
Delgado, D.A., Lambert, B.S., Boutris, N., McCulloch, P.C., Robbins, A.B., Moreno, M.R., et al. (2018) Validation of Digital Visual Analog Scale Pain Scoring with a Traditional Paper-Based Visual Analog Scale in Adults. JAAOS : Global Research and Reviews , 2, e088. https://doi.org/10.5435/jaaosglobal-d-17-00088
Utomo, E., Blok, B.F., Pastoor, H., Bangma, C.H. and Korfage, I.J. (2015) The Measurement Properties of the Five-Item International Index of Erectile Function (IIEF-5): A Dutch Validation Study. Andrology , 3, 1154-1159. https://doi.org/10.1111/andr.12112
Alwaal, A., Awad, M., Boggs, N., Kuzbel, J. and Snoad, B. (2020) Sexual Health Inventory for Men Questionnaire as a Screening Method for Erectile Dysfunction in a General Urology Clinic. Sexual Medicine , 8, 660-663. https://doi.org/10.1016/j.esxm.2020.08.002
Kroenke, K., Spitzer, R.L. and Williams, J.B.W. (2001) The PHQ-9: Validity of a Brief Depression Severity Measure. Journal of General Internal Medicine , 16, 606-613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
Larsen, S.M. and Levine, L.A. (2011) Peyronie’s Disease: Review of Nonsurgical Treatment Options. Urologic Clinics of North America , 38, 195-205. https://doi.org/10.1016/j.ucl.2011.02.006
Levine, L.A. and Larsen, S.M. (2015) Surgical Correction of Persistent Peyronie’s Disease Following Collagenase Clostridium Histolyticum Treatment. The Journal of Sexual Medicine , 12, 259-264. https://doi.org/10.1111/jsm.12721
Dhawan, S., Dhok, A., Phatak, S., Mitra, K. and Ansari, A. (2022) Peyronie’s Disease Presenting as Curvature of the Penis: A Case Report. Cureus , 14, e32055. https://doi.org/10.7759/cureus.32055
Jalkut, M., Gonzalez-cadavid, N. and Rajfer, J. (2003) Peyronie’s Disease: A Review. Reviews in Urology , 5, 142-148.
Sex, C. and Rep, H. (2016) HHS Public Access , 7, 117-131.

Menu

OJU Peyronie’s Disease in an Elderly Ghanaian Gentleman —A Case-Report and Literature Review

Abstract

References (23)