Practical Computerized Solution for Incision and Grafting in Peyronie's Disease

Sexual Medicine
Alexandre F Miranda, Francisco J B Sampaio

Abstract

Penile curvature correction with plaque incision and graft (PIG) increases the risk of erectile dysfunction (ED) and is associated with mechanical and geometric abnormalities. The aim of this study was to create and validate a new PIG technique using minimum graft area to correct simple or complex penile curvature with or without hourglass deformity, while avoiding mechanical and geometric abnormalities. Using our cotton fabric model, we created a mathematic solution for PIG with no residual defects. This was applied in nine men who had sufficient penile rigidity while penetrating their respective partners. They underwent fascia lata patch corporoplasty using the new developed technique (iPad [Apple Corp, Palo Alto, CA, USA] app: iGrafter). Subjects answered the 5-item version of the International Index of Erectile Function (IIEF-5) questionnaire preoperatively and at the end of follow-up. The main outcome measures used were patient demographics, erectile function, residual curvature, patient satisfaction, graft area, and complications. After a mean follow-up of 17.8 months, no significant complication was noted. Complete penile straightening was achieved in all patients. The short side of the penis increased a mean of 3 cm in ...Continue Reading

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May 29, 2014·The Journal of Sexual Medicine·Alexandre F Miranda, Francisco J B Sampaio

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Citations

Oct 8, 2020·Sexual Medicine Reviews·João L AlmeidaFrancisco E Martins

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Software Mentioned

iGraft
iGrafter

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