Corporoplasty with small soft axial prostheses (VIRILIS I®) and bovine pericardial graft (HYDRIX®) in Peyronie's disease

Abstract

The surgical techniques used by Austoni and Egydio in the treatment of Peyronie's disease are based on geometric principles. The aim of this paper is to report our multicentric experience and technical changes to Austoni's original technique, focusing on several tips and tricks to make this technique easy to perform, even by less experienced practitioners. We performed operations in three different Italian institutions. We implanted a small soft Virilis I® axial prostheses (Ø 7 Fr.), using a bovine pericardium collagen matrix patch (Hydrix®) to cover the defect in the tunica albuginea. Sixty patients with a mean age of 58 years (range 44-76 years) underwent surgery between September 2005 and January 2010. After surgery, mean lengthening of the shaft was 2 cm (range 1.2-2.3 cm) with complete correction of penile recurvatum. Thirty-nine patients resumed sexual activity 60 days later, 14 after 90 days and 7 after 120 days. The international index of erectile function (IIEF) score was 15.5 before surgery and it improved to 23 at 12 and 24 months after surgery. Furthermore, the visual analogue scale (VAS) showed good results in terms of the recovery of natural sexual intercourse (over 80% of couples) and of the original length and girth of the penis. The soft implant we used takes advantage of erection that occurs spontaneously, using the residual erection of the spared cavernous tissue. The method is easy to learn and reproducible, and the use of pericardium speeds up the operation, while also covering large defects of the tunica albuginea that result from complex recurvatum.

Corporoplasty Using Buccal Mucosa Graft in Peyronie Disease: Is It a First Choice?

“…In the patients with a partial ED or age >65 years with risk factors (diabetes, hypertension, and so forth), we performed VIRILIS prostheses implant and pericardial graft (Giant Medical, Modena, Italy). 9 In the patients without erection, we implanted hydraulic prostheses.…”

Non‐invasive and surgical penile enhancement interventions for aesthetic or therapeutic purposes: a systematic review

“…The length was most commonly measured on the dorsal surface from the penile base (pubo‐penile junction) to the tip of the glans (meatus), whereas girth was most commonly measured in the flaccid state at one or more levels along the penis shaft. More specifically, these two measuring methods were explicitly described in 48 [13–22,25–36,38–53,60–69] and 39 papers [13–25,27,31–42,44,48,54,60–69], respectively.…”

“…Of the 57 papers included, 51 [1–17,19–20,22–33,36–43,45–67,69] reported safety outcomes (complications).…”

Can Ambicor® Penile Prosthesis be Used in One Piece in Patients with Inadequate Cavernous Structure? Our Experience of Two Cases

“…Sliding technique, where tunical excision and grafting are performed on dorsal-ventral penis, has been described in patients whose corpus cavernosum is short and has been modified to become suitable for penile length prosthesis implantation (11). The studies on this issue in the literature are on cases that are accompanied by Peyronie's disease (11,12,13,14,15). Peyronie's disease did not accompany in our cases, however, only one of the cylinders of the prosthesis could be implanted due to the fact that the penile length of our cases was short and the diameter of the corpus cavernosum was totally insufficient.…”