Procedures

Penile plication surgery for Peyronie’s diseases

Penile Straightening Surgery (Penile Plication) for Peyronie’s Disease

Corrective surgery is necessary in less than 10% of cases. The goal of this procedure is to decrease the amount of the bent of the erect penis to facilitate intercourse. Straightening of the penis by plication is performed only if severe penile training prevents or makes it difficult for at least 12 months. It is recommended for patients who have good erectile ability, who have a simple deformity and less than 60 ° and who have a penis with sufficient length.

You may be asked for photos of your erect penis; the latter will help the urologist to validate the operative technique and to judge the postoperative result.

Straightening the penis by plication is intended to shorten the tunica albuginea by excising an albuginea tunica ellipse on the opposite side to the curvature with nonabsorbable point suture. The results are very satisfactory; a success rate ranging from 79% to 100% for realignment and from 67% to 100% for patient satisfaction is reported.

How is the penile plication for Peyronie’s disease performed?
The surgery is performed under spinal anesthesia or under general anesthesia in a private hospital.
After anesthesia, an artificial erection is performed using an intravenous injection of a medication to choose the location and the number of plications to make.
In general, the skin incision is made a few millimeters behind the glans in a circular way to deglove the skin of the penis on the cavernous body (degloving). In an uncircumcised patient, circumcision is generally proposed to avoid complications related to postoperative edema. In a circumcised patient, the incision is located at the level of the old scar.
Then the skin is closed using resorbable threads. A bandage wrapped around the penis is left in place, as during a circumcision
A bladder catheter may be required within the first 24 hours after the procedure.
What are the risks and complications of a penile plication for Peyronie’s disease?
Complications directly related to the surgery are rare but possible:

-Failure of the intervention.
- Decreased penis width at rest or erection.
- Perception of nodules under the skin of the penis related to the palpation of non-absorbable threads.
- Pain during sex
- Progressive recurrence of Peyronie's disease.

Local complications (hematoma, infection and urinary retention) are occasional. Disorders of the sensitivity or vascularization of the penis (transient or permanent) are exceptionally rare.

Request an Appointment

Dr. Marois is a urologist who is not a member of the Régie d’Assurance Maladie du Québec (RAMQ). As such, the clinic can not claim the RAMQ for the payment of his services. If you consult Dr Marois, you must pay for the services rendered.

Cancellation of appointment:

To ensure the smooth running of the clinic and a minimum of courtesy towards other patients and our staff, we ask you to notify us 48 hours in advance for the cancellation of a consultation, 5 working days in advance for a surgery at the office and 21 working days in advance for a major surgery. If these deadlines are not respected, a cancellation fee of 50% of the service will be charged.

Change of appointment:

We understand that events occur, so we ask you to provide us with at least a 24-hour notice for any change in their appointment; we will be happy to accommodate you, the best we can. However, if you fail to inform us within this timeframe or do not show up, we will charge a $ 100 fee.

Thank you for your understanding.

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