SUMMARY :
The objective of this work is
to present a surgical technique for the treatment of Peyronie disease with autograft
of the tunica albuginea.
Materials and methods : Forty patients between the
ages of 23 and 72 underwent this type of surgical procedure. They had been previously
selected according to the following criteria :
- A penile curvature in
excess of 30º ;
- Dilatation of the corpus cavernosum, above or below the fibrosis
plaque.
Description of the technique : We retract an ellipse along the length
of the tunica albuginea in the parts that area dilated alongside the corpus cavernous.
We then make a transversal incision of the fibrotic plaque and insert the previously
saved excised tissue from the tunica albuginea (Autograft).
Results : We
consider the results to be excellent. In all cases it was possible to restore
the angle of the penis in 90 % of the affected patients. The patients are able
to perform normal sexual activities.
Conclusion : This surgical technique
is important as a consequently the advantages are the followings :
- The technique
restores the axis and the aesthetics of the penis without damaging its length,
as can happen in the known (shortening) techniques ;
- We avoid the use of
synthetic materials ;
- We avoid the removal of the plaque.