Anomalies of the penis and scrotum in adults
| PhD ceremony: | Ms H.M. (Helena) Nugteren |
| When: | November 28, 2016 |
| Start: | 16:15 |
| Supervisors: | prof. dr. J.M. Nijman, prof. dr. H.B.M. (Harry) van de Wiel |
| Where: | Academy building RUG / Student Information & Administration |
| Faculty: | Medical Sciences / UMCG |
This thesis reports on the diagnosis and treatment of abnormalities of penile and scrotal anatomy. The most widely used technique for (optical) lengthening is cleaving the ligament between the pubic bone and the penis. The operated men who had already achieved a penis-length of 7.5 cm in erection, were not satisfied with the result. We suggest that this particular patient category should therefore be dissuaded from surgery.
Some men experience an “acute erection angle”, in which the angle of the erect penis is too tight against their belly. This may be caused by a short ligament between the pubis and the penis, severe curvature at the penopubic level, or a combination of both. The surgical treatment options are partial release of the ligaments, removal of pieces of the sheath surrounding the corpora, or a combination of both.
Genital lymphoedema is a swelling of the male genitals caused by blockage of lymph fluid. It may cause problems with hygiene, urinary incontinence, inability to have sexual intercourse, and even immobility. The most effective treatment is surgical excision of the affected tissue.
Peyronie's disease is characterised by a plaque fibrous tissue in the penis, causing a curvature of the penis during erection. We found in 22% of 415 investigated Peyronie patients a coexisting Dupuytren’s disease (contracture of one or more fingers). Given the increased recognition of Peyronie’s disease, as well as emerging treatment currently being used for Dupuytren’s disease, the association between these two disorders is expected to grow in importance.