Paulo Henrique Egydio

Paulo Henrique Egydio
University of São Paulo | USP · Hospital das Clínicas (FMUSP)

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41
Publications
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613
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Publications

Publications (41)
Article
Background Peyronie’s disease, diabetes, trauma, pelvic surgeries, and aging are conditions that promote penile fibrosis and trigger erectile dysfunction associated with penile reduction. These pathologies require an objective preoperative diagnosis and intraoperative management of penile shrinkage. Aim The goal is to develop a non-grafting proced...
Article
Background: Patients with severe erectile dysfunction (ED) and penile size issues, especially seen in Peyronie's disease (PD), are candidates for more invasive penile prosthesis insertion techniques that aim for penile length and girth reconstruction. Aim: To present the feasibility and safety of penile length and girth restoration based on the...
Article
Loss of penile length is a common complaint of men with Peyronie's disease (PD), both before and after corrective intervention, which has a significant negative effect on patient quality of life. We sought to identify and describe the methods by which penile length can be preserved or increased. We conducted an extensive, systematic literature revi...
Article
The objective of this study was to anatomically describe the relationship of penile intracavernosal pillars to penile surgery, specifically corporal dilation during penile prosthesis placement. Corpora cavernosa from four embalmed male cadavers were dissected and subjected to probe dilation. Corpora were cross-sectioned and examined for the gross p...
Article
To present the feasibility and safety of penile length and girth restoration based on a modified “sliding technique” for patients suffering from severe ED, significant penile shortening with or without Peyronie's disease.Materials and Methods Between January 2013 and January 2014, 143 patients underwent our modified “sliding technique” for penile l...
Article
Objective To compare patient reported outcomes of the the Nesbit procedure, plaque incision and grafting, and the insertion of a malleable penile implant following surgical correction of the penile curvature.Materials and MethodsA retrospective review was performed regarding men who underwent surgical correction of PD between January 2010 and Decem...
Article
Congenital penile curvature can present with both uniplanar and biplanar defects, the latter of which entails more technically demanding surgery. The study aims to demonstrate the efficacy and safety of our novel superficial tunica albuginea geometric-based excision (STAGE) technique based on multiple, small, superficial elliptical tunica albuginea...
Article
Full-text available
Introduction Corporal fibrosis usually occurs after explantation of an infected penile prosthesis, severe penile trauma, refractory low-flow priapism, Peyronie’s disease, or the chronic intracavernous injection of vasoactive drugs. Methods We analysed current treatmentss for penile fibrosis. We searched PubMed using the keywords ’penile corporal f...
Article
The management of penile prosthesis protrusion and the implantation of a prosthesis in fibrotic penile corporal bodies represents a challenging task even for experienced surgeons. To demonstrate the long-term efficacy and safety of a new technique for distal shaft reconstruction and reinforcement in cases of penile prosthesis protrusion or cases of...
Article
What's known on the subject? and What does the study add? The association between Peyronie's disease (PD) and erectile dysfunction (ED) is reported to be 20–70%. Frequently, men who suffer from both ED and PD do not respond to erectogenic medication. In such cases, a simple straightening operation does not provide any benefit to the patient, as ina...
Article
Study Type – Therapy (practise pattern survey) Level of Evidence 3b What's known on the subject? and What does the study add? Congenital penile deviation has become a relatively frequent finding due to a greater awareness of the problem among patients and physicians. Since the first surgical correction for congenital penile curvature was performed,...
Article
Due to loss of length, patients who had penile prosthesis implantation for Peyronie's disease (PD) show a statistically significant reduction in their levels of satisfaction when compared with the general implant population. The aim of this study is to report our experience of penile lengthening with circumferential graft during penile prosthesis i...
Article
Full-text available
Peyronie's disease has been associated with penile shortening and some degree of erectile dysfunction. Surgical reconstruction should be based on giving a functional penis, that is, rectifying the penis with rigidity enough to make the sexual intercourse. The procedure should be discussed preoperatively in terms of length and girth reconstruction i...
Article
To discuss important points on medical history, preoperative evaluation, real expectations, and selection of the appropriate surgical procedure to improve patient satisfaction after surgical procedures for Peyronie's disease. Recent advances in approaches to Peyronie's disease are discussed based on the literature and personal experiences. Issues c...
Chapter
This single geometrically determined incision is a standardized procedure that may be used for the correction of any penile curvature whether or not associated with tunical constriction regardless of plaque characteristics, resulting in maximum penile length gain.
Article
In this review, we examine recent advances assisting surgical decision in Peyronie’s disease. Surgical treatment is indicated in penile deformities that have persisted for at least 6 months and functionally impair or preclude intercourse. Procedures shortening the longer side of the penis are invariably associated with length reduction, which may d...
Article
To study the surgical treatment of Peyronie's disease using a single incision in the tunica albuginea and fibrotic plaque and repair of the defect by bovine pericardium graft. Between April 1999 and May 2001, 33 patients who had had symptoms of Peyronie's disease for more than 12 months and whose disease had been stable for more than 6 months under...

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