AB085. A simple novel surgical technique for penile elongation; compensation for tunical plication in Peyronie’s disease

Background: The major concern with applying tunical plication procedures for Peyronie curvature is the associated with potential loss of penile length. We describe a novel technique for penile elongation by simple scrotal septum detachment from penile base to compensate penile length loss during penile plication in Peyronie’s disease and evaluated the efficacy and safety of our technique.

Methods: From January 2014 to May 2017, we evaluated 16 patients (24–63 years old) with Peyronie’s disease underwent penile plication with penile elongation via our novel technique. The penile elongation was performed by release and detachment of scrotal septum from penile base until scrotal fat tissue identified. We assessed the stretched penile length (SPL) preoperatively and 4 weeks postoperatively as objective outcome. The subject outcome was assessed with the patient perception of postoperative penile length. Information regarding complications was obtained during the postoperative hospital stay and at all follow-ups.

Results: The mean increase in SPL was 1.2±1.3 cm (range, −1.0 to 3.0 cm) and it was a statistically significant (P=0.003). There was no significant correlation between preoperative curvature and increase in SPL. Eleven of 16 patients (68.8%) was reported a perceived penile length increase after surgery. There was no procedure related complication such as hematoma, infection, and tissue necrosis.

Conclusions: With the simple dissection and detachment of the scrotal septum from penile base, we obtained objective penile elongation and subjective outcomes without complications. We suggest that this is a promising surgical method to compensate the potential penile length loss in patients who undergo plication surgery with Peyronie’s disease.

Keywords: Penile elongation; Peyronie’s disease; scrotal septum