INTRODUCTION Penile curvature correction with plaque incision and graft (PIG) increases the risk of erectile dysfunction (ED) and is associated with mechanical and geometric abnormalities. AIMS The aim of this study was to create and validate a new PIG technique using minimum graft area to correct simple or complex penile curvature with or without hourglass deformity, while avoiding mechanica...

INTRODUCTION We describe a new surgical technique for the treatment of penile curvature that combines features of the Nesbit procedure with features of tunical plication. U-shaped flaps of tunica albuginea are freed from the corpus cavernosum. The flaps are brought under the remaining tunica albuginea and are fixated with single absorbable sutures. As the defects of the tunica are sealed tightl...

INTRODUCTION Peyronie's disease (PD) is a debilitating disorder in which collagen deposition, fibrosis, and plaques in the tunica albuginea result in penile curvature, shortening, and pain. For severe curvatures requiring plaque incision or excision with grafting (PIEG), a subcoronal circumcising incision with penile degloving has historically been used. AIMS The aim of this study was to repo...

Many different materials are available for grafting during surgery for Peyronie's disease (PD). To study the outcomes associated with the use of a lyophilized bovine pericardium graft (Peri-Guard®) to repair tunical defects in patients with PD, descriptive study of 43 patients with disabling penile curvature was performed. Curvature was measured before and after the intervention using a standar...

OBJECTIVE To evaluate self-reported patient and partner satisfaction in cases of unconsummated marriage due to congenital penile curvature that was treated by the 16-dot plication procedure. PATIENTS AND METHODS From March 2008 to March 2012, 24 couples presented to our institute with an unconsummated marriage due to congenital penile curvature. All patients were treated using the 16-dot plic...

BACKGROUND Penile plication techniques with or without degloving offer a minimally invasive option for the treatment of penile curvature. AIM To review the outcomes of penile plication surgery and patient satisfaction with and without degloving of the penis. METHODS We conducted a retrospective analysis of 52 patients who underwent penile plication for the treatment of Peyronie disease or c...

OBJECTIVES In Peyronie's disease, any kind of plication technique for correcting penile deformities is associated with penile shortening in addition to the disease-related shrinkage. To minimize penile shortening we describe a new technique of penile corporoplasty using a free graft from the tunica albuginea. PATIENTS AND METHODS From October 2001 to February 2003 we treated 18 patients with ...

AIM We report on the corporal rotation technique, customized for the management of ventral curvature in patients without hypospadias. METHODS A male patient with ventral curvature of 90 degrees was operated on. The neurovascular bundle was mobilized for a short distance at the point of maximum curvature. The corpora cavernosa were approximated to each other in the dorsal midline by suturing p...

BACKGROUND The inflatable penile prosthesis (IPP) is typically the preferred implant for Peyronie's disease (PD) and malleable penile prostheses (MPPs) have been discouraged. AIMS To evaluate the effectiveness and patient satisfaction of the MPP vs IPP in patients with PD. METHODS Men with PD and erectile dysfunction who elected for penile implant surgery constituted the study population. P...

OBJECTIVES To report the principles of penile resculpturing of different deformities caused by M. Peyronie: restoration of penile length, girth and shape with or without penile prosthesis implantation. METHODS In the period between February 2007 and March 2009, we performed grafting surgery for M. Peyronie in 98 patients aged between 24 and 72 years (mean 52 years). Penile deformities were di...