Shumaker, A, Smith, A, Bajic, P

Peyronie’s Disease; Plaque Incision and Grafting; Inflatable Penile Prosthesis; Erectile Dysfunction

Inflatable penile prosthesis (IPP) with straightening maneuvers is the optimal treatment for men with Peyronie’s disease (PD) and erectile dysfunction (ED) that is refractory to medical therapy. Straightening maneuvers include IPP insertion, manual modeling, tunical plication and plaque incision and grafting (PIG). Cylinder herniation or bulging through the graft site is a known complication of IPP/PIG surgery. The “multiple slice” technique leverages several small incisions to correct deformity while minimizing the risk of cylinder complications. In this video, we demonstrate the surgical steps involved. We find that it is useful for patients with complex Peyronie’s deformity that may require a large incision and graft that might otherwise be prone to cylinder herniation or bulging

Petar Bajic, MD – Consultant for Coloplast; Consultant for Boston Scientific; Research funding from Coloplast