Advanced Techniques of Plication Surgery with Basal Approach: When and Why

Abstract

We describe and report on our variant of penile corporoplasty, the ‘double-breasted’ and ‘track’ corporoplasty, with penoscrotal and infrapubic access not requiring circumcision in penile curvature due to Peyronie’s disease. Preoperative evaluation included prostaglandin E1 injection with photographic documentation and measurement of penile angulation and administration of the International Index of Erectile Function-5 (IIEF-5). Scrotal access was used in patients with dorsal curvature and infrapubic access in patients with ventral curvature. After preparation and incision of Colles’ fascia, the penis is degloved and double-breasted, or track corporoplasty is performed at the site established at preoperative assessment. Complete correction of penile curvature was achieved in 96 % of patients; recurrence occurred in 4 %. No major complications were reported, nor were there neurovascular lesions or change in erectile function. There was no change in the appearance of the penis as circumcision was not performed and the residual scar was barely noticeable as it was hidden in the infrapubic fold. This original technique is associated with low morbidity, a low recurrence rate and excellent aesthetic results.