(241) BEYOND STRAIGHTENING: LONG-TERM SATISFACTION WITH A MODIFIED TUNICA ALBUGINEA PLICATION TECHNIQUE

Abstract Introduction The Tunica Albuginea Plication (TAP) procedure is a corrective surgery for penile curvature, addressing both congenital (chordee) and acquired (Peyronie’s disease(PD)) deformity. Like any surgical intervention, TAP carries potential side effects including penile shortening, palpable stitches/nodules, changes in penile sensation, incomplete correction of curvature, and potential impacts on sexual function. The modification of the Duckett-Baskin procedure, employs a minimal number of permanent sutures per case (1-3), can mitigate problems associated with the use of only permanent sutures without a higher recurrence rate. While the primary aim of TAP is to achieve a functional straightening of the penis (curvature <20 degrees), there's limited data available regarding patient perspectives and long-term satisfaction. Objective This study aims to evaluate patient satisfaction over the long term following the modified TAP procedure. Methods We collected data of patients who underwent TAP between 2019 and 2023. An 8-question survey was conducted via telephone. Satisfaction levels were graded from 1 (very disappointed) to 5 (very satisfied). Survey questions encompassed aspects such as penile length, residual curvature, penile sensation, palpable sutures, pain, erectile function, ability to engage in penetrative sex, and overall sexual satisfaction. Results A total of 233 patients underwent TAP, aged 15-77 years, with a follow-up period ranging from 11 to 71 months. So far, 91 patients have completed the survey (72 with PD & 19 with Chordee). Penile length emerged as a primary concern for 12% of PD patients who were dissatisfied with their length following the procedure, while none of the chordee patients expressed such concern. Dissatisfaction with palpable nodules or sutures was reported by only 2%, and dissatisfaction with residual or recurrent curvature was reported by 8%. 96% were satisfied with penile sensation. Pain/discomfort was reported as very satisfying by 99% of respondents. Erectile function was satisfactory for 94% of the cohort, with 93% reporting overall sexual satisfaction as satisfactory and very satisfactory. Conclusions Overall, patients perceive the long-term outcomes of our modified TAP procedure positively. Dissatisfaction primarily centered around penile length, with lesser concerns about penile sensation, indicating the necessity for increased attention to these known side effects, particularly in addressing the impact on penile length, potentially associated with PD itself. Disclosure No.