Saphenous vein harvesting by 'stripping' technique and 'W'-shaped patch covering after plaque incision in treatment of Peyronie's disease

Harvesting of the saphenous vein tract by means of log stripping is propose d in the treatment of Peyronie's disease, The technique of W-shaped sapheno us vein alter plaque incision to correct severe penile deformity associated with Peyronie's disease is described. Graft material was obtained from the lower saphenous vein by means of distal 'leg short stripping' technique. T he size and number of tunical incisions depended on the size of the plaque. A 15 cm venous segment is generally sufficient to cover the defect. The ve nous segment used was W-shaped, assembled with 6/0 polydioxanone (PDS) unin terrupted sutures and then sutured to the albuginea defect, In our prelimin ary series of eight patients, penile shortening and erectile dysfunction is absent. Complete correction of penile deformity was achieved in seven pati ents (87.5%). One patient had minimal residual curvature (<20<degrees>) whi ch did not result in difficulty with intromission, Saphenous harvesting by the stripping technique is not an invasive procedure and is quick and simpl e to perform, The W-shaped assembling technique is safe because the piece o f saphena is kept intact and may be suited properly to the albuginea defect .