Evidence map›Paper›PMID 42729171›Full record

ArticleTranslational andrology and urology2026

The impact of collagenase clostridium histolyticum (CCH) priming on surgical outcomes in Peyronie's disease: a retrospective cohort study.

Beatriz Hernandez, Peyton Coady, Arnaav Walia, Gal Saffati, Amelia Oppenheimer, Shannon Dunnam, Ethan Low, Christopher Bi, David E Hinojosa-Gonzalez, Adnan El-Achkar and 1 more

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Article in Translational andrology and urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Beatriz HernandezScott Department of Urology, Baylor College of Medicine, Houston, TX, USA.
Peyton CoadyScott Department of Urology, Baylor College of Medicine, Houston, TX, USA.
Arnaav WaliaScott Department of Urology, Baylor College of Medicine, Houston, TX, USA.
Gal SaffatiScott Department of Urology, Baylor College of Medicine, Houston, TX, USA.
Amelia OppenheimerScott Department of Urology, Baylor College of Medicine, Houston, TX, USA.
Shannon DunnamScott Department of Urology, Baylor College of Medicine, Houston, TX, USA.
Ethan LowScott Department of Urology, Baylor College of Medicine, Houston, TX, USA.
Christopher BiScott Department of Urology, Baylor College of Medicine, Houston, TX, USA.
David E Hinojosa-GonzalezScott Department of Urology, Baylor College of Medicine, Houston, TX, USA.
Adnan El-AchkarScott Department of Urology, Baylor College of Medicine, Houston, TX, USA.
Mohit KheraScott Department of Urology, Baylor College of Medicine, Houston, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Peyronie's disease (PD) is a connective tissue disorder characterized by fibrous plaque formation within the tunica albuginea, resulting in penile curvature, pain, and sexual dysfunction. Although collagenase clostridium histolyticum (CCH) injections are an established nonsurgical therapy, surgical correction remains the gold standard for men with severe deformity or persistent functional impairment. The influence of prior CCH exposure ("CCH priming") on subsequent need for surgical correction and specific surgical outcomes remains incompletely understood. Our aims were to quantify the proportion of men with PD who underwent tunica albuginea plication after CCH therapy and to compare baseline characteristics and surgical outcomes between patients with and without prior CCH exposure. Methods: We conducted a retrospective analysis of 926 men with PD under institutional review board approval. Patients were categorized by prior CCH treatment and subsequent tunica albuginea plication. Continuous variables were compared using independent t-tests, and categorical variables were analyzed with chi-square or Fisher's exact tests. Statistical significance was defined as P<0.05. Our primary outcomes included the proportion of patients undergoing plication after CCH, preoperative and postoperative curvature, in-hospital complications, 30-day and 90-day complication rates, and revision surgery rates. Results: Of 926 patients, 322 received CCH therapy. Among these, 25 (7.8%) underwent subsequent plication compared with 34 (5.6%) of 604 men without prior CCH. Baseline comorbidities were similar between groups, except for a higher prevalence of testosterone replacement therapy use in the CCH cohort. Preoperative curvature did not differ significantly (56.6° Conclusions: Prior CCH exposure was not associated with statistically significant differences in curvature correction or complication rates following tunica albuginea plication, and revision surgery rates were also not statistically different between groups. Larger studies are warranted to improve statistical power to better evaluate potential differences in revision rates and other surgical outcomes.

Indexed as

collagenase clostridium histolyticum (CCH)Peyronie’s disease (PD)plication surgerysurgical outcomes

Identifiers

PMID42729171
PMCPMC13561725

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