Corporoplasty With Bovine Pericardium Patch in Peyronie´s Disease Step by Step

A. E. J. Teyrouz, F. Rubio Ballesteros

pey, bov, atb

Introduction:

Peyronie’s disease (PD) is an acquired inflammatory disorder that affects the connective tissue, specifically the tunica albuginea of the penis. It is characterized by the formation of palpable fibrous plaques in the flaccid state, which cause penile curvature during erection. This deformity can negatively impact sexual function and the patient’s quality of life. It predominantly affects men between 40 and 60 years of age (>50% of cases), with a prevalence ranging from 3.2% to 8.4%.

In cases of curvature greater than 60°, corporoplasty with placement of a graft covering the albugineal defect is indicated. These techniques have the advantage, compared with plication procedures, of causing less shortening of penile length; however, they may present a higher risk of postoperative erectile dysfunction. This procedure is contraindicated in cases of severe erectile dysfunction or defects greater than 2 cm in length.

Objectives:

We present the case of a corporoplasty using a bovine pericardium graft (“Urogenx”) in a 60-year-old patient diagnosed with Peyronie’s disease, presenting with a dorsal curvature of approximately 70°, and mild erectile dysfunction responsive to oral treatment. The patient was reluctant to undergo penile prosthesis placement.

Methods:

The video includes the surgical steps, postoperative care, and results at 3 months following the procedure.

Results: In our center, for penile curvatures greater than 60°, corporoplasty is offered as a surgical treatment option, using either a Tachosil patch or a bovine pericardium graft (as in the case presented in the video). The corporoplasty with a bovine pericardium graft has the advantage over Tachosil of allowing verification of curvature correction through artificial erection once the graft is placed, as it maintains penile rigidity and watertightness—something not possible with Tachosil due to its porous nature.

Conclusions:

In summary, the bovine pericardium graft is more durable, elastic, and resistant than Tachosil, making it more suitable for large or complex defects.

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