VENOUS PATCH GRAFT FOR PEYRONIES-DISEASE - PART I - TECHNIQUE

Purpose: We describe our technique of plaque incision and venous patch grafting to correct complex penile deformity associated with Peyronie 's disease. Materials and Methods: Graft material is obtained from the lower and upper saphenous and deep dorsal veins. The configuration, s ize and number of tunical incisions depend on the site and size of the lesion. In most cases an II-shaped tunical incision is adequate to re lease the contracture. With the aid of a vascular stapler several vein segments can be assembled easily into 1 piece to cover the defect. Re sults: The incidence of penile shortening and erectile dysfunction, fo llowing other corrective procedures, is lessened with the tunical inci sion and venous grafting technique. Conclusion: The venous graft provi des an anatomical and functional tunical substitute. Results in correc tion of Peyronie's disease are highly encouraging;