Penile plication has become the preferred surgical technique for Peyronie's disease (PD) as it can be performed efficiently, safely, with a high success rate, low morbidity and a low complication rate. Here in we describe two modern plication techniques in detail: the Kiels Knot plication and the minimally invasive penoscrotal plication. Benefits of the techniques include no palpable sutures for the Kiels Knot Plication and less surgical trauma for the penoscrotal plication. Plication has a low rate of failure. However, when it does occur it is usually secondary to under-correction. Failures typically present early postoperatively and a contributing factor to underestimating the deformity is a poor intraoperative artificial erection. Complex, severe, or multiplanar deformities will require more sophisticated intraoperative decision-making, but can be managed effectively with penile plication nonetheless.
Translational andrology and urology. 2017 Aug [Epub]
Billy H Cordon, Daniar Osmonov, Georgios Hatzichristodoulou, Allen F Morey
Columbia University Division of Urology at Mount Sinai Medical Center, Miami Beach, FL, USA., Department of Urology and Pediatric Urology, University Hospital Schleswig Holstein, Campus Kiel, Germany., Department of Urology and Pediatric Urology, University Hospital of Julius-Maximilians-University of Würzburg, Würzburg, Germany., Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USA.