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Penis

Penis

The penis serves a dual role in sexual reproduction and urination. It consists of three main regions: the glans penis, the body, and the root, each with distinct functions and unique anatomical features.
Anatomy of the Penis
The glans penis, or the head, is the terminal part of the penis and houses the external urethral orifice, the exit point for urine and semen. Covered by the prepuce, or foreskin, the glans is noted for its sensitivity and plays a key role in sexual pleasure. The body of the...

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Updated: Sep 2, 2025

Microscopic Electric Rotary Grinding of Plaques Combined with Graft Repair in the Management of Peyronie's Disease

Microscopic Electric Rotary Grinding of Plaques Combined with Graft Repair in the Management of Peyronie's Disease

Published on: March 15, 2024

Complex Penile Surgery: Plication, Grafting, and Implants.

Ziho Lee¹, Jolie Shen², Hunter Wessells²

¹Department of Urology, Northwestern University, Northwestern University Feinberg School of Medicine, 675 North Saint Clair Street, Galter Pavilion, Suite 20-150, Chicago, IL 60611, USA.

The Urologic Clinics of North America

|August 5, 2022

Summary

This summary is machine-generated.

Surgical management for complex Peyronie's disease and erectile dysfunction can be challenging due to severe penile deformities and fibrosis. This review integrates literature on plication, grafting, and implants for successful reconstructive outcomes.

Keywords:

Erectile dysfunction Grafting Penile implant Peyronie’s disease Plication

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Published on: October 18, 2024

Area of Science:

Urology
Andrology
Reconstructive Surgery

Background:

Peyronie's disease and erectile dysfunction often require surgical intervention.
Complex cases involving severe curvature, hourglass deformity, or penile shortening present surgical challenges.
Previous penile trauma or priapism can lead to severe corporal fibrosis, complicating implant surgery.

Purpose of the Study:

To review and integrate current literature on surgical management of complex Peyronie's disease and erectile dysfunction.
To emphasize reconstructive techniques including plication, grafting, and implants.
To guide surgical decision-making for a wide spectrum of complex cases.

Main Methods:

Literature review and integration of existing studies.
Focus on surgical techniques for complex penile deformities and fibrosis.
Emphasis on outcomes of plication, grafting, and penile implant surgery.

Main Results:

Standard surgical treatments are effective for uncomplicated cases.
Severe penile deformities and fibrosis necessitate adjunctive reconstructive techniques.
Plication, grafting, and implants, when appropriately applied, can achieve satisfactory outcomes in complex scenarios.

Conclusions:

Successful surgical management of complex Peyronie's disease and erectile dysfunction requires tailored reconstructive approaches.
Integration of plication, grafting, and implant techniques addresses diverse etiologies and complexities.
Achieving satisfactory functional and anatomical outcomes is feasible even in the most challenging cases.