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BJU Int. 2011 Feb;107(4):622-5. doi: 10.1111/j.1464-410X.2010.09546.x. Epub 2010 Aug 26.

Tunica-sparing ossified Peyronie's plaque excision.

Author information

1
Department of Urology, University of California, San Francisco, CA, USA. michael.eisenberg@gmail.com

Abstract

OBJECTIVE:

Ossified Peyronie's plaques may require surgical excision because of the palpable problems and penile curvature that result. As tunical excision can result in impotence and decrease penile sensation, we describe a novel method of tunical preserving excision of such lesions.

PATIENTS AND METHODS:

We evaluated 12 men with dorsal penile curvature between 10° and 90°. Penile plaque size ranged from 1 to 5 cm. 80% had painful erections. An artificial erection was induced with intracavernous injection of papaverine to assess penile deformity. Via a circumcising or ventral incision, plication sutures were placed to correct penile curvature. A lateral longitudinal corporotomy was made and the calcified/ossified portion was dissected free from the tunica albuginea/plaque of the corpora cavernosa. Watertight tunical closure was then performed.

RESULTS:

Postoperatively, 80% of men reported erections always adequate for intercourse and normal sensation with a mean follow-up of 7 months (range 2.1-14.5 months). All patients required simultaneous penile plication to ensure a straight phallus. Pathologic evaluation of plaque specimens all showed bone fragments.

CONCLUSION:

Tunica-sparing excision of the ossified/calcified portion of Peyronie's plaques shows a durable benefit for large, ossified lesions and maintains potency and penile sensation.

PMID:
20804484
PMCID:
PMC3855482
DOI:
10.1111/j.1464-410X.2010.09546.x
[Indexed for MEDLINE]
Free PMC Article
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