Dot plication for Peyronie┬┤s Disease: the USF experience

VJPU 2014; 1: 017

Carrion, R., Hakki, T., Martinez, D., Parker, J., Yang, C.

Keywords: Peyronie´s Disease, plication of the tunica albuginea, dot plication

This video covers the surgical technique for correction of curvature due to Peyronie’s Disease utilizing a plication of the tunica albuginea through a paramedian skin incision. This method of penile plication is well-established and entitled the Tom Lue 16-Dot. The dot plication involves no dissection of the tunica or urethra and straightens the penis. This description uses non abosorbable suter.  Classically, permanent sutures are used during plication. Drawbacks include report subcutaneous palpable knots and pain with erections. Eight patients with stable Peyronie´s Disease presented for management. The curves ranged from 20 to 95 degrees. This video demonstrates exposure of the tunica for the length of the penis opposite the location of the curvature. The tunica was plicated utilizing 3-0 absorbable sutures. The video demonstrates a step by step procedure of the 16 dot (4 dots per suture) penile plication. Results: eight patients underwent plication procedures for Peyronie´s Disease. With a mean follow-up of 5 months, the patients reported mild post-operative discomfort from the incision, and minimal residual curvature of an average of less than 5 (2.5-8) degrees. After a 4 months follow-up period, patients denied feeling the knots subcutaneously.   

Acknowledgements: none

Disclosures: Consultant AMS and Coloplast

References:

  1. 1. Gholami SS, Lue TF. Correction of penile curvature using the 16-dot plication technique: a review of 132 patients. J Urol 2002 167;2066-2069