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Penile straightening with crural graft of the corpus cavernosum
C Teloken1, T Grazziotin, E Rhoden
1Fundacion F. F. de Ciências Médicas and Santa Casa Hospital de Porto Alegre, Porto Alegre, Brazil.
Purpose:
We present a surgical alternative to penile straightening in Peyronie's disease that avoids penile shortening by using tissue from the crural segment of the corpora cavernosa as a graft.
Materials And Methods:
We treated 7 patients with stable Peyronie's disease and satisfactory penile rigidity but significant curvature that precluded intercourse with this technique. An incision is made in the fibrous area and after stretching the gap is covered with a graft removed from the crural segment of the corpora cavernosa.
Results:
In 6 of the 7 men straightening was satisfactory but in 1 it was not complete. No patient reported worse penile rigidity postoperatively. Donor site healing was uneventful.
Conclusions:
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.