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Peyronie's penile plication.

Authors
  • Cordon, Billy H1
  • Osmonov, Daniar2
  • Hatzichristodoulou, Georgios3
  • Morey, Allen F4
  • 1 Columbia University Division of Urology at Mount Sinai Medical Center, Miami Beach, FL, USA.
  • 2 Department of Urology and Pediatric Urology, University Hospital Schleswig Holstein, Campus Kiel, Germany. , (Germany)
  • 3 Department of Urology and Pediatric Urology, University Hospital of Julius-Maximilians-University of Würzburg, Würzburg, Germany. , (Germany)
  • 4 Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Type
Published Article
Journal
Translational andrology and urology
Publication Date
Aug 01, 2017
Volume
6
Issue
4
Pages
639–644
Identifiers
DOI: 10.21037/tau.2017.07.18
PMID: 28904896
Source
Medline
Keywords
License
Unknown

Abstract

Penile plication has become the preferred surgical technique for Peyronie's disease (PD) as it can be performed efficiently, safely, with a high success rate, low morbidity and a low complication rate. Here in we describe two modern plication techniques in detail: the Kiels Knot plication and the minimally invasive penoscrotal plication. Benefits of the techniques include no palpable sutures for the Kiels Knot Plication and less surgical trauma for the penoscrotal plication. Plication has a low rate of failure. However, when it does occur it is usually secondary to under-correction. Failures typically present early postoperatively and a contributing factor to underestimating the deformity is a poor intraoperative artificial erection. Complex, severe, or multiplanar deformities will require more sophisticated intraoperative decision-making, but can be managed effectively with penile plication nonetheless.

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