LeRoy A. Jones MD1
1: Urology San Antonio, San Antonio , Texas
Introduction: Penile plication at the time of penile prosthesis insertion can provide immediate straightening. This approach is utilized for peyronie’s patients with penile curvature between 30 and 60 degrees.
Case Presentation: The patient had coexisting erectile dysfunction and significant curvature from his peyronies disease.
Protocol: A transverse scrotal incision is used, providing excellent exposure. An 8 dot technique is used for the plication suture placement. The plication sutures (2-0 fiber wire) are placed prior to insertion of the penile prosthesis. Once the device is inserted and inflated the sutures are tensioned correcting the curvature. The device is left partially inflated at the conclusion of the procedure and a closed suction drain is utilized. The Henry Mummy wrap is used at the end of the procedure.
Discussion: The benefit of this simplified approach is immediate straightening of the penile curvature at the time of penile prosthesis insertion, whereas penile modeling may take several months of usage to achieve the same excellent result. Also contrary to penile modeling there is no risk of urethral injury.