TITLE:
OJU Peyronie’s Disease in an Elderly Ghanaian Gentleman—A Case-Report and Literature Review
AUTHORS:
Frank Obeng, Aishah Fadila Adamu, Samuel Edudzi Gavor, Blessings Yao Setsoafia, Sedem Atimpo, Ebenezer Antwi, Enoch Kwaku Adjaho, Nana Yaa Agyenim Boateng, Merveille Adjin Anum-Laryea, Gwendolyn Egyefi Armah, Juliet Enyonam Dzivenu, Frank Fosu, Joel Kwame Kwao, Alexander Kofi Quansah, Pearl Esi Demawu Hussein, Rachel Akosua Sogbe, Kafui Kossi Kekessie, Mawuenyo Attawa Oyortey, Ali Mamudu Ayamba
KEYWORDS:
Peyronie’s Disease, Penile Trauma, Tunica Albuginea, Penile Deformity, Sexual Frustration, Careful Diagnosis, Tailored-Surgical Therapy, Calcific-Plaques, Autologous Fascia Lata Graft, Water-Tight Repair
JOURNAL NAME:
Open Journal of Urology,
Vol.14 No.10,
October
30,
2024
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.