Minimally Invasive Intracorporal Incision of Peyronie’s Plaque

Abstract

Surgical management of Peyronie’s disease remains an area of evolving technique. Although few surgeons agree on the optimal procedure, most are comfortable with the concept that the chosen procedure should be as minimally invasive as possible and restore shape and function with the lowest risk to the individual. Currently, there exists no best procedure able to accomplish all of these ideal end points. Most surgeons experienced in management of Peyronie’s disease utilize a wide range of procedures, from plications to incisions and excisional techniques with grafts obtained from either autologous or exogenous sources. In this chapter, we report on our experience with an intracorporal incisional technique directed at men with small, discrete, dorsally located penile plaques. The ability for us to incise the scar from the interior of the corpora reduces pain and limits the need for us to widely mobilize the neurovascular bundle in these men.