Relaxing incisions in the correction of penile deformity due to Peyronie's disease.

Abstract

The use of tunica albuginea relaxing incisions, a common component of several operative techniques for correction of penile deformity due to Peyronie's disease, is reviewed. Of 93 operations performed for penile straightening 24 involved relaxing incisions with penile prosthesis implantation but no grafts and 69 involved autologous free grafts into relaxing incisions without use of an implant. Relaxing incisions were uniformly effective in correcting penile curvature when used in conjunction with a prosthesis. When autologous grafts were used without an implant, more than 80% of the patients with dorsal or ventral bending had a good result, compared to only 17% with lateral bending. Relaxing incisions are an effective technique for changing the shape of the erect penis by altering the configuration of the tunica albuginea at maximal extension.