Kết quả phẫu thuật điều trị cong dương vật mắc phải tại Trung tâm Nam học, Bệnh viện Hữu nghị Việt Đức

Acquired penile curvature, commonly known as Peyronie's disease, is a chronic connective tissue disorder characterized by plaque formation within the tunica albuginea, leading to penile deformity, pain, and sexual dysfunction. While not life-threatening, it significantly impairs sexual function, psychological well-being, and overall quality of life for affected individuals. In Vietnam, research evaluating the surgical outcomes of this condition remains limited. This study aims to address this gap by assessing the efficacy of surgical treatment for Peyronie's disease patients at the Andrology Center, Viet Duc University Hospital, thereby contributing practical evidence to the management of this challenging pathology.

Urologists, andrologists, general surgeons, medical researchers, and healthcare policymakers interested in the surgical management of Peyronie's disease and patient outcomes in urological surgery.

This retrospective and prospective case series study evaluated the surgical outcomes of acquired penile curvature in 50 male patients diagnosed with Peyronie's disease who underwent surgical correction at the Andrology Center, Viet Duc University Hospital between January 2020 and February 2025. Two primary methods, Yachia and Grafting, were employed. Results showed a significant reduction in penile curvature from an average of 57.1 ± 11.5 degrees pre-operatively to 12.1 ± 5.9 degrees post-operatively (p < 0.001). Regarding erectile function, the Yachia method demonstrated a statistically significant improvement in IIEF-5 scores (p = 0.011), whereas the Grafting method showed no significant change (p = 0.582). Penile length outcomes also varied, with the Yachia group experiencing a mean decrease of 0.8 cm (p < 0.001) and the Grafting group a mean increase of 1.0 cm (p < 0.001). The incidence of late complications was comparable between groups (36.36% for Yachia and 33.33% for Grafting). Overall patient satisfaction, measured on a Likert scale, was high at 4.18/5. The study concludes that no single surgical method is optimal for all patients with acquired penile curvature, emphasizing the necessity of highly individualized treatment decisions. Factors such as the degree of curvature, penile length, baseline erectile function, and crucially, patient priorities and expectations, must be thoroughly considered. Comprehensive counseling on the risk-benefit profile of each method is key to maximizing post-operative patient satisfaction.