[Cavernous insufficiency after dermal graft corporoplasty]

From 1987 to 1993, a total of 27 patients suffering from Peyronie's disease were treated by plaque excision and dermal graft repair. The deformity of the penis was adequately corrected in 25 patients. Preoperatively 18 patients (66.6%) had firm erections, while postoperatively only 4 patients (14.8%) could have sexual intercourse. The loss of rigidity is due to venous leakage. Pre- and postoperative cavernosometric studies in 11 patients showed an increase in maintenance flow from 17 ml/min to 77 ml/min. Cavernosography reveals venous leakage from the deep dorsal vein. Disintegration of the tunica albuginea is discussed as a possible reason for the venous leakage.