The “Kiel Knots” Technique for the Treatment of Congenital and Acquired Penile Curvature

Authors: Daniar K Osmonov, Ahmed M. Ragheb

Key Words: Kiel, knots, penile, congenital, curvature, Peyronie’s

Penile curvature is not only a cosmetic issue, but can also cause severe functional and psychological problems for the affected men and their partners. There are many surgical techniques for correction ranging from the least invasive as plication to the more invasive as incision or excision and grafting. We propose our “Kiel Knots” technique, based on modifying and combining the 16-dot and the Essed-Schroeder plication techniques for the correction of both congenital and acquired penile curvatures. In this video, we demonstrate step-by-step the Kiel Knots technique for the correction of a case of dorsal acquired curvature with good erectile function via the subcoronal approach while highlighting the added advantages of our technique.

Disclosures: This video was not financially supported. The authors have nothing to disclose.

References:

1. Essed E, Schroeder FH. New surgical treatment for Peyronie disease. Urology. 1985 Jun;25(6):582-7. doi: 10.1016/0090-4295(85)90285-7. PMID: 4012950.
2. Gholami SS, Lue TF. Correction of penile curvature using the 16-dot plication technique: a review of 132 patients. J Urol. 2002 May;167(5):2066-9. PMID: 11956440.