CAVERNOUS INSUFFICIENCY AFTER DERMAL GRAF T CORPOROPLASTY

From 1987 to 1993, a total of 27 patients suffering from Peyronie's di sease were treated by plaque excision and dermal graft repair. The def ormity of the penis was adequately corrected in 25 patients. Preoperat ively 18 patients (66.6%) had firm erections, while postoperatively on ly 4 patients (14.8%) could have sexual intercourse. The loss of rigid ity is due to venous leakage. Pre- and postoperative cavernosometric s tudies in 11 patients showed an increase in maintenance flow from 17 m l/min to 77 ml/min. Cavernosography reveals venous leakage from the de ep dorsal vein. Disintegration of the tunica albuginea is discussed as a possible reason for the venous leakage.