Alei II Minimally Invasive Technique for the Correction of Penile Curvature Without Circumcision

Abstract

In 2012, we developed a new surgical technique for the correction of congenital and acquired penile curvature without circumcision called “track” corporoplasty or Alei II technique. We report the results of this technique. The procedure can be performed under local anaesthesia. For the penile ventral curvature repair an infrapubic transverse dorsal incision is made to correct a ventral curvature or when removing or cutting the plaque in Peyronie’s disease. Colles’ fascia is opened with forceps and Colle’s space is expanded to separate the tissue planes. Then, a single 0 non-absorbable synthetic multifilament suture is placed in order to perform a special placation on two parallel lines and therefore called “track”. Mean age was 54 years for patients with Peyronie’s disease and 45 years for patients with congenital penile deviation. The mean follow-up period was 36 months. No major complications, no circumcision, overall satisfaction 98%. Intraoperative correction of the curvature was achieved in 100%, significant relapse occurred in 2%.