Venous patch graft for Peyronie's disease. Part I: technique.

Abstract

We describe our technique of plaque incision and venous patch grafting to correct complex penile deformity associated with Peyronie's disease. Graft material is obtained from the lower and upper saphenous and deep dorsal veins. The configuration, size and number of tunical incisions depend on the site and size of the lesion. In most cases an H-shaped tunical incision is adequate to release the contracture. With the aid of a vascular stapler several vein segments can be assembled easily into 1 piece to cover the defect. The incidence of penile shortening and erectile dysfunction, following other corrective procedures, is lessened with the tunical incision and venous grafting technique. The venous graft provides an anatomical and functional tunical substitute. Results in correction of Peyronie's disease are highly encouraging.