Grafting Techniques with Inflatable Penile Prosthesis for Severe Peyronie's Disease

  • Hellstrom, W., Hatzichristodoulou, G., Voznesensky, I., Tsambarlis, P.
  • Igor Voznesensky, Peter Tsambarlis, George Hatzichristodoulou, Wayne Hellstrom
  • VJPU 2019; 3: 155
  • 6:57
Image

Abstract

Authors

Igor Voznesensky, Peter Tsambarlis, George Hatzichristodoulou, Wayne Hellstrom

Key Words

Grafting, Peyronie’s, Tutoplast, TachoSil, penile prosthesis

Description

 

In this video we demonstrate a variety of techniques used for management of severe Peyronie’s curvature including inflatable penile prosthesis placement, manual modeling straightening procedures, and plaque incision and grafting. We highlight the use of Tutoplast graft and the novel TachoSil collagen fleece for grafting procedures. These advanced incision/grafting techniques are applicable when excised plaque defect is greater than or equal to two centimeters.  This video serves as a resource for the practicing urologist seeking to better understand the available advanced surgical approaches to managing severe Peyronie’s curvature.

References

  1. Hatzichristodoulou G. Evolution of the surgical sealing patch TachoSil® in Peyronie's disease reconstructive surgery: technique and contemporary literature review. World J Urol. 2019 May 3;. doi: 10.1007/s00345-019-02792-w

  2. Hatzichristodoulou G, Osmonov D, Kübler H, Hellstrom WJG, Yafi FA (2017) Contemporary review of grafting techniques for the surgical treatment of Peyronie’s disease. Sex Med Rev 5:544–552

  3. Garcia-Gomez B, Ralph D, Levine L, Moncada-Iribarren I, Djinovic R, Albersen M, Garcia-Cruz E, Romero-Otero J (2018) Grafts for Peyronie’s disease: a comprehensive review. Andrology 6:117–126

  4. Hatzichristodoulou G (2016) Grafting techniques for Peyronie’s disease. Transl Androl Urol 5:334–341

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