Abstract

NUNEZ SERRANO, A. A.; GARCIA MARTINEZ, L.  and  ELENA SORANDO, E.. Peyronie's disease: Incision or extirpation of the plaque. Cir. plást. iberolatinoam. [online]. 2008, vol.34, n.2, pp.119-130. ISSN 1989-2055.

Peyronie's disease is a well-known medical entity but its surgical treatment does not get the expected outcome all the time. Usual techniques are based on the extirpation of fibrous plaque which distorts the erectile penis. These traditional techniques can produce shortening of the penis and/or disease recidivation. We report a 20 patient series afflicted of Peyronie's disease who were treated by a new surgical procedure; it consists of the incision over the fibrotic plaque and the insertion of a dermal autologous graft. We describe indication, surgical procedure, and results achieved by us with a following time within 16 to 1 year (last patient included). This technique changes the essential therapeutic approach. Using plaque incision instead of plaque extirpation we contribute to preserve vessels, nerves and we penis length. The incidence of impotence and disease recidivation also decreases with this simple and available technique.

Keywords : Peyronie's disease; Extirpation; Incision; Fibrosis.

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