Corporeal plication for surgical correction of Peyronie's disease

A retrospective study was done on 30 patients who underwent surgical correction of the penile deformity secondary to Peyronie's disease between 1983 and 1988. Mean followup was 31 months (range 9 to 72 months). Nine patients (30%) underwent Nesbit's operation, 8 (27%) had incision and transverse closure of the tunica albuginea and 13 (43%) had corporeal plication. Over-all, 19 patients (63%) improved postoperatively, which implied erection free of pain with minimal or no deformity and the ability to perform normal sexual intercourse. Presence of pain with deformity was an important factor that influenced the surgical result and should be regarded as a contraindication to surgical intervention. The results of corporeal plication were as good as the other 2 methods. The advantages of this procedure over the other 2 methods are discussed. We recommend this procedure for patients in whom surgical correction of the deformity is indicated.