Penile Straightening With Crural Graft of the Corpus Cavernosum

Telöken, Cláudio; Grazziotin, Túlio; Rhoden, Ernani Luı́s; Ros, Carlos Teodósio Da; Fornari, Alexandre; Soares, Fernando C.; Souto, Carlos Ary Vargas

doi:10.1016/s0022-5347(05)67459-9

Cited by 45 publications

(24 citation statements)

References 8 publications

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“…Complete straightening is usually achieved in 70% to 98% of patients depending on follow-up, and 60% to 83% of patients maintain initial length or show lengthening, which is a common reason for choosing graft procedures [3][4][5][6][16][17].…”

Section: Resultsmentioning

confidence: 99%

“…Various materials have been used for grafts, including tunica vaginalis, saphenous vein, deep dorsal vein, synthetics, dura mater, porcine small intestine submucosa, cadaveric or bovine pericardium, temporalis fascia, fascia lata, corpora cavernosa crural graft (CCCG), preputial skin, and buccal mucosa [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. The ideal graft should be flexible, compliant, and cost effective.…”

Section: Introductionmentioning

confidence: 99%

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Plaque incision and grafting represents the best surgical approach to the Peyronie’s disease patient: Pro

Telöken

Teloken²,

Oppermann³

2006

Current Sexual Health Reports

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Various surgical modalities have been utilized for the treatment of penile tortuosity caused by Peyronie's disease. However, the ideal surgical procedure has not yet been developed. Because plaque incision and grafting does not cause penile shortening, it is the best approach, particularly in cases of severe and complex penile curvature. Additionally, if the graft is nonsynthetic, neither inflammatory nor anomalous scarring will develop over time. This review suggests crural corpora cavernosa as the graft of choice, because it more closely resembles the incised area both anatomically and functionally.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Plaque incision and grafting represents the best surgical approach to the Peyronie’s disease patient: Pro

Telöken

Teloken²,

Oppermann³

2006

Current Sexual Health Reports

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“…The use of piece of native tunica albuginea to repair damaged tunica albuginea was investigated by Teloken in 2002 [34]. Through a perineal incision, a tunical graft no larger than 2.0× 3.5 cm was harvested and used for penile reconstruction.…”

Section: Crural Tunica Albugineamentioning

confidence: 99%

Biomaterial Grafting Materials in Peyronie’s Disease

Bennett

2015

Curr Sex Health Rep

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Plaque incision/excision and grafting are a specialized procedure reserved for men with Peyronie's disease, featuring severe penile curvature, near-normal erectile function, and adequate erectile length. The choice of graft material requires careful consideration of the positive and negative attributes. Grafts may be divided into three distinct categories: synthetic, autologous, and extracellular materials. A description of each is presented below with a brief relevant literature review.

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“…Autologous grafts were initially used for PD surgery in the 1950s [94] with different types of tissues, such as temporal fascia [95], buccal mucosa [96][97][98], deep dorsal vein [99], saphenous vein [100][101][102], preputium [103], dermis [71,[104][105][106], tunica albuginea [107][108][109], tunica vaginalis [110], fascia lata [111], and rectus sheath [112]. Some surgeons use saphenous vein due to its simplicity and reliability of harvesting, large surface area, good compliance, and lesser amount of intracavernosal fibrosis [1, 74•, 113].…”

Section: Tunical Lengthening Procedures (Grafting)mentioning

confidence: 99%

Treatment of Peyronie’s Disease: 2012 Update

Şerefoğlu

2011

Curr Urol Rep

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Peyronie's disease (PD) is the occurrence of a fibrous inelastic scar of the tunica albuginea of the penis. It is a relatively common disorder among men, with a reported prevalence of 3% to 8%. It is often associated with penile pain, anatomical deformities in the erect state, and difficulty with intromission. Because the exact pathophysiology of PD remains unknown and standards for evaluating or reporting treatment outcomes are unclear, research on effective therapies has been limited. The benefits of nonsurgical treatment options are conflicting and further controlled studies are required before any therapy can be fully recommended. The success of surgery has been well documented; however, surgery is invasive and costly and carries potential side effects. Patients who report stable disease that has been present for longer than 12 months and who experience penile deformity preventing satisfactory sexual intercourse are best suited for surgery. Additionally, failed conservative management and a patient's preference for definitive correction are important additional indications for surgical treatment.

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Penile Straightening With Crural Graft of the Corpus Cavernosum

Abstract: Use of tissue from the corpus cavernosum to correct penile curvature is effective. However, our results are preliminary, and long-term effectiveness and safety must be confirmed in a larger number of cases.

Cited by 45 publications

References 8 publications

Plaque incision and grafting represents the best surgical approach to the Peyronie’s disease patient: Pro

Plaque incision and grafting represents the best surgical approach to the Peyronie’s disease patient: Pro

Biomaterial Grafting Materials in Peyronie’s Disease

Treatment of Peyronie’s Disease: 2012 Update

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