F
02031312933

Peyronie's Disease

 

Plication (penile shortening) surgical techniques

The first and most common surgical procedure developed for penis curvature correction is the plication technique.

The logic of this procedure is quite simple; in most cases the underlying reason for penile curvature is because the plaque develops on one side of the corpora cavernosa (the erection mechanism), resulting in a loss of elasticity. When the penis is erect, the affected side stretches less than the healthy side (in effect the one side of the penis is longer than the other) and this inbalence results in penile curvature.

All plication surgeries work in the same way; the surgeon operates on the healthy side of the penis so to correct the affected side and eliminate the curvature. Because of the associated penile length loss and also the fact that this surgery mainly eliminates curvature and not any other issues associated with Peyronie’s (such as hourglass or hinge effects), ideal candidates for this operation are patients with curvatures exhibiting the following characteristics:

  • Intact erectile function or erectile dysfunction responding to pharmacotherapy
  • Curvature in excess of 60 degrees
  • No complex deformity
  • No destabilising hour-glass or hinge
  • Pre-peyronie’s loss of length in excess of 20% of total erect length

Various modifications of this technique have been proposed including Nesbit (the original surgical approach), Yachia, TAP, 16-dot and STAGE. The differences between these techniques are two-fold:

  • The type of incision/excision performed in order to make the longer side shorter
  • The way or type of sutures utilised to keep the longer side shorter

An excellent surgeon should be able to achieve very good results with any of these techniques although in certain cases, related to the curvature characteristics, a surgeon might choose to perform a specific technique due to their experience.

At International Andrology, we prefer to perform the STAGE technique as it has some demonstrable
advantages to others, especially compared other techniques such as the Nesbit approach.

Overview of the STAGE Technique

The Superficial Tunica Albuginea Geometric-based Excision (STAGE) technique was developed by our doctors as an improved variation of the original Nesbit technique.

The STAGE technique utilises geometric principles to identify the point of maximum curvature and through performing superficial and small excisions at the points of maximum curvature, the penis is straightened.

In order to better illustrate the STAGE Technique, we have developed the following video animation:

To find out more about the surgical treatment of Peyronie’s disease, then please contact our Patient Co-ordination team on 02031312933 or read our Frequently Asked Questions here.

I am suffering from a what I suspect is Peyronies disease, what should I do next?

If you believe you are suffering from Peyronies and it causes you significant concern we advise you to see a specialist urologist/andrologist.


Our doctors have vast experience treating Peyronies and our clinic is an international referral centre for patients suffering from this condition. We would be happy to review your case and treat you in our clinic.

x

LEARN MORE ABOUT PEYRONIE’S DISEASE

Peyronie’s, also know as Induratio Penis Plastica, is a disease that leads to the formation of scar tissue plaque on a man’s penis. It affects around 9% of male population and can appear at any age, although the prevalence is higher in men older than 35 years of age. Continue Reading....
We understand that a diagnosis of Peyronie’s is stressful for men. One thing that should always be remembered is that irrespective of the stage and severity of the disease there is always a treatment option as long as patients seek help from specialised doctors. Continue Reading....
Peyronies disease is a progressive disease that develops in two distinct phases. From the onset and for about 12 months, Peyronie’s disease is in the so called Acute Phase, during which the size and morphology of the plaque continue to develop. Continue Reading....
There are various treatment options that have been developed for Peyronie’s disease – these fall under four broad categories for more information, please refer to the dedicated webpages of each treatment option. Continue Reading....
Our Peyronie’s disease treatment procedure is based on the latest medical research, medical guidelines and our extensive clinical experience and with our treatment options, you may be able to avoid surgery. Continue Reading....
Unfortunately, at this time, no conservative treatment has been comprehensively developed and tested that is as effective in dissolving plaque as the the natural healing mechanism is. Continue Reading....
Many patients when they first get diagnosed with Peyronie’s disease try some kind of penile stretching or modelling (during an erection, trying to straighten the penis). Continue Reading....
Based on current scientific evidence, Xiapex is the only non-surgical treatment that has been proved to have a significant impact on the peyronie’s plaque and on average leads to a 35% reduction in penile curvature – however, the results vary significantly from patient to patient with some experiencing even greater improvements. Continue Reading....
The first step for a successful treatment is to select the operating technique that is best suited to your situation. At International Andrology, our expertise in Peyronie’s surgical correction allows us to offer a range of surgical options and we advise our patients as to the treatment that will ensure the best possible result. Continue Reading....
In general, we do not believe there are best techniques but rather the best surgeons. All the techniques we employ have been significantly developed by our surgeons leading to high success rates and patient satisfaction, irrespective of the technique employed. Continue Reading....
The first and most common surgical procedure developed for penis curvature correction is the plication technique. Continue Reading....
Plication surgery involves operating on the healthy, longer side of the penis to make it shorter, while grafting techniques is based on the exact opposite principle; the surgeon operates on the Peyronie’s penile plaque(s) so as to restore lost elasticity (created by plaque) on the affected side of the penis. During an erection, both sides will stretch to the same size, hence eliminating the curvature. Continue Reading....
Around 30% of patients suffering from Peyronie’s disease will also suffer from severe erectile dysfunction. Continue Reading....
Unfortunately, most insurance companies do not cover sexual dysfunction or male fertility consultations and most of our patients are self-paying. If your insurance company covers the cost of treatment or diagnostic tests, then we would be glad to assist you with the refund claim or claim directly from your insurance company on your behalf. Continue Reading....

LEARN MORE ABOUT PEYRONIE'S DISEASE

Contact
us