Incisional Corporoplasty for the Correction of Peyronie’s Disease Caused Penile Curvature

Abstract

Shortening the convex part of the corpora cavernosa for the treatment of penile curvatures was recommended more than 150 yr ago. Almost a century later, the surgical technique for straightening congenital penile curvatures by removing ellipsoid wedges from the convex side of the tunica albuginea, known as the Nesbit corporoplasty, was described. The modified corporoplasty described in this chapter was developed for achieving a straight and smooth penile shaft after the repair. This technique also is based on the principle of shortening the convex part of the corpora cavernosa, but without removing segments from the tunica albuginea and without dissection of the neurovascular bundle and its mobilization. In this technique, the longitudinal incisions done to the tunica albuginea of the corpora cavernosa are closed horizontally for shortening the convex part. Then, the bulges at the ends of the closure lines are buried with inverting sutures to smooth the penile shaft. This easily learned and performed technique can be used in most patients with Peyronie’s disease who have a reasonable penile length for achieving excellent cosmetic and functional results.