{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T10:13:23Z","timestamp":1788344003650,"version":"build-2803163510"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,12,21]],"date-time":"2015-12-21T00:00:00Z","timestamp":1450656000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2016,5]]},"abstract":"\n Objectives<\/jats:title>\n \n To report the results from a prospective multicentric study of patients with Peyronie's disease (\n PD<\/jats:styled-content>\n ) treated with the \u2018sliding\u2019 technique (\n ST<\/jats:styled-content>\n ).\n <\/jats:p>\n <\/jats:sec>\n \n Patients and Methods<\/jats:title>\n \n From June 2010 to January 2014, 28 consecutive patients affected by stable\n PD<\/jats:styled-content>\n with severe penile shortening and end\u2010stage erectile dysfunction (\n ED<\/jats:styled-content>\n ) were enrolled in three European\n PD<\/jats:styled-content>\n tertiary referral centres. The validated International Index of Erectile Function (\n IIEF<\/jats:styled-content>\n ) questionnaire, the Sexual Encounter Profile (\n SEP<\/jats:styled-content>\n ) Questions 2 and 3, and the Peyronie's disease questionnaire (\n PDQ<\/jats:styled-content>\n ) were completed preoperatively by all patients. At the follow\u2010up visits (at 3, 6 and 12 months), the\n IIEF<\/jats:styled-content>\n , the\n SEP<\/jats:styled-content>\n Questions 2 and 3, the\n PDQ<\/jats:styled-content>\n , and the Erectile Dysfunction Inventory of Treatment Satisfaction (\n EDITS<\/jats:styled-content>\n ) were completed. The outcome analysis was focused on penile length restoration, and intra\u2010 and postoperative complications classified according the Clavien\u2013Dindo Classification.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The mean (range) follow\u2010up was 37 (9\u201360) months. A malleable penile prosthesis (\n PP<\/jats:styled-content>\n ) was implanted in seven patients, while an inflatable three\u2010pieces\n PP<\/jats:styled-content>\n was placed in the remainder. In the case of inflatable\n PP<\/jats:styled-content>\n implantation, porcine small intestinal submucosa and acellular porcine dermal matrix were used to cover the tunical defects. While in patients undergoing malleable\n PP<\/jats:styled-content>\n implantation, collagen\u2010fibrin sponge was used. The mean operative time was 145 min in the inflatable\n PP<\/jats:styled-content>\n group and 115 min in the malleable\n PP<\/jats:styled-content>\n group. There were no intraoperative complications. Postoperative complications included profuse bleeding requiring a blood transfusion in one patient (3.5%) on anticoagulation therapy for a mechanical heart valve (Grade\n II<\/jats:styled-content>\n ) and\n PP<\/jats:styled-content>\n infection requiring the removal of the device (7%) (Grade\n III<\/jats:styled-content>\n ). There were no late recurrences of the shaft deformation. The postoperative functional data showed a progressive improvement in the score of all questionnaires, peaking at 12 months postoperatively. The mean (range) penile lengthening was 3.2 (2.5\u20134) cm and no patient reported recurrence of the curvature.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n The present series suggests that, in the hands of experienced high\u2010volume surgeons, penile length restoration with the use of the\n ST<\/jats:styled-content>\n represents an effective option for end\u2010stage\n PD<\/jats:styled-content>\n associated with\n ED<\/jats:styled-content>\n and severe shortening of the shaft. Larger series and longer follow\u2010up will be required to fully establish the efficacy of this procedure.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.13371","type":"journal-article","created":{"date-parts":[[2015,12,21]],"date-time":"2015-12-21T00:53:54Z","timestamp":1450659234000},"page":"814-820","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":64,"title":["A prospective multicentric international study on the surgical outcomes and patients\u2019 satisfaction rates of the \u2018sliding\u2019 technique for end\u2010stage Peyronie's disease with severe shortening of the penis and erectile dysfunction"],"prefix":"10.1111","volume":"117","author":[{"given":"Luigi","family":"Rolle","sequence":"first","affiliation":[{"name":"Department of Urology Citt\u00e0 della Salute e della Scienza University of Turin Turin 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