The University of Chicago, Pritzker School of Medicine
Introduction: This video covers the surgical technique used for grafting and the removal of the plication caused from a severe case of Peyronie’s disease (PD). Individuals with severe PD may elect to undergo surgical treatment to improve their sexual satisfaction during sexual intercourse. Indications for surgical treatment with grafting of PD include a penile deviation > 60 degrees, short penis, hourglass deformity, and satisfactory preoperative erectile function. In this video, we demonstrate the usage of preoperative imaging using penile duplex ultrasound and CEEVRA MRI penis 3D imaging to identify and model the plication. Furthermore, this video is a step-by-step guide to the health professional on the meticulous technique that can be used for a successful removal of a plication, grafting, as well as correction of penile curvature from PD.
Methods: The video was recorded during a concurrent penile plication and excision with grafting for severe Peyronie’s disease.
Results: Post operatively the patient's 90 degree curvature due to Peyronie's was no longer presentable. As such the patient was able to maintain an erection, engage in sexual intercourse, and did not experience shortening of the penile length.
Conclusions: It is imperative to use a meticulous technique during the grafting and removal of a plication caused by Peyronie's disease. In this video we demonstrated the step-by-step guide for a health professional to perform this procedure. When done in this fashion patients can be alleviated from the symptoms of PD.
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