Extract

Objective

The most successful treatment option of Peyronie's disease remains surgical, despite also being the most invasive. There are described several techniques for the correction of penile curvature, being technically demanding those in which grafts are used. We present our initial experience with this technical modification of partial plaque incision and grafting with self-adhesive film hemostatic containing equine and fibrinogen / human thrombin collagen.

Methods

Between December 2013 and December 2015 we operated a total of 22 patients with a mean age of 59 years (48-69). The mean curvature was 54 (41-105) degrees, 17 with dorsal pure curvature (4 with hourglass type) and 5 dorsolateral. The mean presurgical PDQ PD bother score was 10.2 (7-13). Five of them had been previously treated with two cycles of collagenase. The technique used was consistent throughout: microsurgical release of the neurovascular bundle, partial incision of the plaque with an H modified technique in the area of maximum curvature and direct placement of patch without suturing.

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