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Surgical Techniques and Pitfalls for Excision and Grafting

  • Male and Female Surgical Interventions (C Carson and M Khera, Section Editors)
  • Published:
Current Sexual Health Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

To highlight the surgical techniques of Peyronie plaque excision with grafting technique. We also sought to help the surgeon with important aspects of pre-operative and post-operative counseling.

Recent Findings

The pre-operative discussion is imperative in setting expectations and goals of care. The ideal graft has yet to be developed, but improvements have been made with decreased risks of infection and contracture rates.

Summary

We have learned that Peyronie’s disease is still a surgically treatable disease. Excision and grafting is a complex procedure, but with an appropriate technique, complex curvatures can be managed in trained hands. Patient selection is imperative in deciding whether concomitant penile prosthesis should be placed. Graft choice is left up to the operating surgeon, but use of non-autologous grafts appears to be increasing.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance

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Authors and Affiliations

  1. Department of Urology, University of South Florida, 2 Tampa General Circle STC 6, Tampa, FL, 33606, USA

    Lorenzo DiGiorgio, Melissa Mendez, Justin Parker & Rafael Carrion

Authors
  1. Lorenzo DiGiorgio
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  2. Melissa Mendez
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  3. Justin Parker
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  4. Rafael Carrion
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Corresponding author

Correspondence to Lorenzo DiGiorgio.

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Conflict of Interest

Rafael Carrion reports serving as a consultant for Coloplast and Endo, outside of submitted work.

Justin Parker reports serving as a consultant for Coloplast, and a Speaker for Baxter, outside of submitted work.

Lorenzo DiGiorgio and Melissa Mendez each declare no potential conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Male and Female Surgical Interventions

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DiGiorgio, L., Mendez, M., Parker, J. et al. Surgical Techniques and Pitfalls for Excision and Grafting. Curr Sex Health Rep 11, 406–410 (2019). https://doi.org/10.1007/s11930-019-00207-w

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  • DOI: https://doi.org/10.1007/s11930-019-00207-w

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