Penile corporoplasty in Peyronie's disease: which technique, which graft?

Despite continuous efforts to find an ideal solution, standard surgical technique for Peyronie's disease treatment is still not established. To evaluate the current articles and assess the scientific validity of the recent literature (January 2010-June 2011) on Peyronie's disease surgery.

Corporal surgery is coped with high complication rate because of complexity of penile anatomy and healing mostly in flaccid state. Penile structures are elastic with significant size change in erection, in contrary to rigid, nonelastic scarring tissue. This has important impact on surgical results, quality of life and patients' satisfaction. In the last 18 months, there were several articles that deserve our attention. Two articles evaluate medium and long-term results on corporal grafting. There are some newly described, minimally invasive approaches to albuginea, and some are describing new techniques for plaque attenuation. One study is dealing with selective calcified plaque excision and contralateral plication, and another describes different modalities of accurate tunical incision(s) and grafting for complete re-establishment of predisease penile size.

In the last 18 months, there are few works that could have impact for clinical practice, while one proved poor long-term results of dermal flap grafting.