(410) Multiple Slit Incisions with Tachosil® Grafting for Treatment of Peyronie’s Disease and ED

Abstract Introduction Plaque incision or partial excision with collagen fleece grafting and IPP implantation is a well-established treatment for severe penile curvatures associated ED. Nevertheless, multiple plaque incisions combined Tachosil® may have added advantages. Objective We demonstrate step-by-step the of case ED an over 60 degree dorsal curvature mainly on left side hour glass indentation right shaft. highlight advantages these specific cases. Methods After via penoscrotal approach, neurovascular bundle was mobilized. For sided we underwent deep transverse slits starting from around point maximum using low energy cutting current (20 to 30 Watts). Our were complimented modeling technique. waist formation longitudinal slits. The area covered by graft. Results horizontal led vertical release thus straightening curved Longitudinal release, therefore expanding obliterating formation. Conclusions slit technique together compared conventional incision/excision utilizing same smaller defects created tunical avoid potential cylinder protrusion, facilitate better sealing fleece, lower incidence hematoma and/or infections allow complimentary penis. Moreover, complex deformities also be treated simultaneously success. Disclosure Any authors act as consultant, employee shareholder industry for: Coloplast.