Senthooran Kalidoss, Paulo Barreto Guimaraes, David Nusbaum, Omer Raheem, Ervin Kocjancic

Peyronie’s disease, fascia lata graft, corporal reconstruction, allograft, curvature correction, plaque excision

Management of Peyronie’s disease is challenging for patients and can present with deformed penile angulation, pain, and reduction in erectile function. Human fascia lata grafting of the tunical layer can be used as an alternative surgical grafting material in cases of severe Peyronie’s disease with appropriate surgical curvature correction and improved outcomes. This 65 year-old male patient with severe Peyronie’s disease and a history of hypertension presented with a ventral penile curvature of 110 degrees at the proximal third of the shaft. He was unable to engage in penetrative sexual intercourse. The fascia lata graft is robust and does not need to be folded prior to suturing to the tunical defect. This grafting procedure resulted in a near complete resolution of the ventral penile curvature with no complications. Additionally, the postoperative penile length increased to 17.5cm from 16cm preoperatively due to the mitigation of the penile curvature. Fascia lata allografts are robust and easily obtainable, ideal for the corporal reconstruction of fibrotic tunica albuginea. This procedure demonstrates the utility of cadaveric fascia lata allografting for the surgical correction of penile curvature associated with severe Peyronie’s disease.

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