Author: Jonathan Clavell-Hernández
Key Words: Peyronie’s, Plaque incision, Penile prosthesis, Non-degloving
Surgery remains the gold standard treatment for Peyronie’s Disease (PD). Historically, most surgical procedures for this condition have been performed through a circumcision incision with penile degloving. (Barrett-Harlow, et al) A ventral non-degloving approach has been previously described for patients undergoing penile length restoration surgery.(Clavell-Hernandez and Wang) This video shows the non-degloving approach for PD plaque incision with inflatable penile prosthesis (IPP) placement. A penoscrotal approach is taken and the incision is then extended through the midline ventral raphe of the penis. A paraurethral incision is then made to dissect the neurovascular bundle away from the tunica albuginea. A relaxing incision is made at the point of maximal curvature. The IPP is then placed which, along with the plaque incision, corrects the curvature. Fascial layers are used to cover the tunica albuginea defect. The non-degloving technique provides for an alternative method for ancillary procedures during IPP placement in PD to maintain Dartos and skin continuity to the glans penis while still allowing for adequate surgical exposure and cosmesis.