Venous Patch Graft Surgery for Peyronie’s Disease

Abstract

Multiple surgical procedures have been developed for the treatment of Peyronie’s disease. With these penile-straightening surgeries, two broad surgical categories have emerged. These categories are penile-shortening procedures (plication) and penile-lengthening procedures (penile grafting). With the penile-grafting procedures, different grafting materials have been used. Presented here is the use of the autologous saphenous vein graft. The venous graft has many advantages, including (1) similar thickness of the replacing tunica albuginea, (2) an endothelial lining that prevents hematoma formation, (3) elasticity of the graft, and (4) the wall of the saphenous graft can establish a blood supply from the lumen of the corpus cavernosum, thus preventing graft ischemia and contracture. Also, there is decreased inflammation or reaction to the graft because it is autologous. With careful patient selection, the saphenous vein graft for Peyronie’s disease is an excellent therapy for penile curvature.