Subtunical Apposition of Bioabsorbable Tissue Reinforcement Mesh Graft for Surgical Treatment of Peyronie’s Disease

J. Borges Cabral Junior, R. de Albuquerque Pereira de Oliveira, R. Conceição de Souza, L. Augusto Irineu de Aguiar Ramos, A. Ariel Pires Cavalcanti Zeca, V. Mikaelly da Silva Gomes, J. Vitor Mangueira Lima, R. Vinicius Leite Celerino

Peyronie, Penile graft, Penile surgery

We present the case of a 53-year-old man with a dorsal penile curvature of approximately 60 degrees during erection for 18 months, with stability for more than 6 months and with good erectile function, but with considerable difficulty in penetration during sexual intercourse. The surgical correction performed was through graft apposition with bioabsorbable polymer mesh, as a viable option for correcting accentuated curvatures in Peyronie's Disease. The tissue reinforcement mesh was more rigid than other conventional biological grafts, which increased intraoperative time. However, the rigidity of the mesh apparently prevents tissue retraction and early recurrence of penile curvature. Respecting the patient selection criteria for correction of penile curvatures, the apposition of a bioabsorbable tissue reinforcement matrix graft may be a good material option for the surgical treatment of patients with Peyronie's disease with accentuated curvature and good erectile function.

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