Penile straightening with crural graft of the corpus cavernosum

Purpose: We present a surgical alternative to penile straightening in Peyro nie's disease that avoids penile shortening by using tissue from the crural segment of the corpora cavernosa as a graft. Materials and Methods: We treated 7 patients with stable Peyronie's disease and satisfactory penile rigidity but significant curvature that precluded intercourse with this technique. An incision is made in the fibrous area an d after stretching the gap is covered with a graft removed from the crural segment of the corpora cavernosa. Results: In 6 of the 7 men straightening was satisfactory but in 1 it was n ot complete. No patient reported worse penile rigidity postoperatively. Don or site healing was uneventful. Conclusions: Use of tissue from the corpus cavernosum to correct penile cur vature is effective. However, our results are preliminary, and long-term ef fectiveness and safety must be confirmed in a larger number of cases.