Penile Prosthesis Placement With Mesh-Type Relaxing Incisions in Peyronie’s Disease

M. Muní i Sureda, M. D'anna, C. Martínez, M. Baixauli, R. Ruiz, J. Parra, J. M.Corral, L. Peri, A. Alcaraz, J. Torremadé

Peyronie's, Relaxing incisions, Penile prosthesis, Tachosil

This case report describes a 61-year-old man with Peyronie’s disease, type 2 diabetes, and hypertension who presented with a severe 110° penile curvature and erectile dysfunction. A subcoronal approach with degloving was performed, followed by dissection of the neurovascular bundle and mesh-type relaxing incisions in the tunica albuginea. These incisions increased penile length from 8 to 10 cm, allowing implantation of a 16 + 1 cm inflatable penile prosthesis. Residual curvature was corrected through modeling, achieving a final deviation of less than 30°, and Tachosil was applied to seal tunical defects. The reservoir was placed paravesically, and the postoperative course was uneventful, with discharge after 24 hours. This technique—combining relaxing incisions, modeling, and prosthesis implantation—proved effective for restoring penile length and function in patients with severe Peyronie’s curvature and erectile dysfunction, offering durable and satisfactory functional results.

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