Authors: Jacob Tannenbaum, Bryan Herzog, Omer Raheem. Department of Urology, Tulane University, School of Medicine, New Orleans Louisiana
Key Words: Penile plication; surgical technique; Grafting; Peyronie’s disease
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.