Abstract
Peyronie’s disease, characterized by the formation of a fibrous plaque within the tunica albuginea of the corpora cavernosa, has long caused sexual dysfunction. Plication surgery has allowed a simple technique to correct the penile curvature caused by Peyronie’ s disease. The 16-dot plication technique corrects the penile curvature with a high level of patient satisfaction and yet can be performed under local anesthesia. Slight adjustments can be made during the procedure, which allows greater precision toward penile strengthening. The 16-dot penile plication procedure has an 85% long-term success rate for achieving a straight erection by patient reporting. Minimal complications are reported, with penile shortening (0.5–1.5 cm) reported at 41%. With a mean operative time of 45 min and the ability to perform the procedure under local anesthesia, the 16-dot plication procedure is an important tool for the urologist for treatment of Peyronie’s disease.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Nesbit RH. Congenital curvature of the phallus: report of three cases with description of corrective operation. J Urol 1965: 93: 230–232.
Saalfeld J, Ehrlich RM, Gross JM, Kaufman JJ. Congenital curvature of the penis. Successful results with variations in corporoplasty. J Urol 1973; 109: 64–65.
Yachia D. Modified corporoplasty for the treatment of penile curvature. J Urol 1990; 143: 80–82.
Essed E, Schroeder FH. New surgical treatment for Peyronie disease. Urology 1985; 25: 582–587.
Ebbehoj J, Metz P. New operation for “krummerik” (penile curvature). Urology 1985; 26: 76–78.
Donatucci CF, Lue TF. Correction of penile deformity assisted by intracavernous injection of papaverine. J Urol 1992; 147: 1108–1110.
Baskin LS, Lue TF. The correction of congenital penile curvature in young men. Br J Urol 1998; 81: 895–899.
Gholami SS, Lue TF. Correction of penile curvature using the 16-dot plication technique: a review of 132 patients. J Urol 2002; 167: 2066–2069.
Andrews HO, Al-Akraa M, Pryor JP, Ralph DJ. The Nesbit operation for Peyronie’s disease: an analysis of the failures. BJU Int 2001; 87: 658–660.
Poulsen J, Kirkeby HJ. Treatment of penile curvature—a retrospective study of 175 patients operated with plication of the tunica albuginea or with the Nesbit procedure. Br J Urol 1995; 75: 370–374.
Thiounn N, Missirliu A, Zerbib M, et al. Corporeal plication for surgical correction of penile curvature. Experience with 60 patients. EurUrol 1998; 33: 401–404.
Nooter RI, Bosch JL, Schroder FH. Peyronie’s disease and congenital penile curvature: long-term results of operative treatment with the plication procedure. Br J Urol 1994; 74: 497–500.
Klevmark B, Andersen M, Schultz A, Talseth T. Congenital and acquired curvature of the penis treated surgically by plication of the tunica albuginea. Br J Urol 1994; 74: 501–606.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2007 Humana Press Inc., Totowa, NJ
About this chapter
Cite this chapter
Dean, R.C., Lue, T.F. (2007). Penile Plication Using the 16-Dot Technique. In: Levine, L.A. (eds) Peyronie’S Disease. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-59745-161-1_13
Download citation
DOI: https://doi.org/10.1007/978-1-59745-161-1_13
Publisher Name: Humana Press
Print ISBN: 978-1-58829-614-6
Online ISBN: 978-1-59745-161-1
eBook Packages: MedicineMedicine (R0)