We present a recent modification of the surgical incision used for pat
ients with Peyronie's disease of the dorsal penile shaft and/or who re
quire a concomitant complete dorsal vein ligation procedure. This appr
oach spares the penile skin from trauma and torsion, and allows for im
proved access to the more proximal penile shaft. Our experience to dat
e has demonstrated no evidence of increased morbidity with excellent c
osmetic results.