Abstract
To explain and demonstrate the use of a collagen fleece (TachoSil®) as a graft material for severe penile curvatures, which demand an incision and grafting procedure based on the geometric principles of the Egydio technique. To highlight tips and tricks for a correct application of TachoSil® and the geometric principles of the Egydio technique. From March 2016-August 2016 a total of 18 patients underwent an incision and grafting procedure based on the geometric principles of the Egydio technique due to a severe penile curvature caused by Peyronie's disease. Inclusion criteria were: patients with severe Peyronie's disease - patients with good quality erections - patients who were concerned about further penile length loss. 16 patients had a dorsal penile curvature, and 2 patients had a lateral penile curvature. The mean penile curvature was 70 degrees (range, 50-100 degrees). All dorsal penile curvatures were straightened. One of the lateral curvatures had to be revised due to a residual curvature of > 20°. A residual curvature of less than 10 degrees was present in 2 patients. Permanent glans numbness was not present. The intraoperative measured stretched penile length increased by 2.0 cm (range, 1.5-3.0 cm). In foreskin sparing approaches (12 cases) a postoperative lymph edema of the foreskin was present in 50% of cases. All lymph edemas dissolved over the first 6 weeks. All patients resumed sexual intercourse postoperatively. No postoperative erectile dysfunction was recorded.
Published Version
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