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Plication techniques in Peyronie’s disease: new developments

International Journal of Impotence Research volume 32, pages 30–36 (2020)Cite this article

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Abstract

To date, surgical correction remains the gold standard for patients with stable Peyronie’s disease (PD) due to its high efficacy and low morbidity. Among the surgical procedures, penile plication (PP) can be offered to men who have adequate erectile function and penile length (>13 cm), with a curvature <60° and a predicted shortening of maximum 20% of the penis. The aim of this paper is to review the new developments that have emerged in the last years about the use of PP in patients with PD. A nonsystematic review of the literature was carried out searching in the PubMed and EMBASE databases from January 01, 2009 to April 01, 2019 including the words ‘Peyronie’, ‘penile curvature’, ‘penile induration’, ‘plication’, and ‘plicature’. New developments in PP in the last 10 years include avoiding degloving by using a penoscrotal incision, a new mathematical model to predict loss of length after PP, a wider range of indications including patients with severe (≥60°) or complex curvatures, burying knots to avoid later discomfort, and thinning or incising the plaque to prevent excessive shortening. PP is a well-founded procedure with great results in appropriately selected patients. Given the lack of any prospective randomized trial, no clear recommendation can be made of one technique over another.

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Authors and Affiliations

  1. Hospital Universitario 12 Octubre. Grupo de Investigación Salud Integral del Varón i+D+I, Madrid, Spain

    Borja García-Gómez, Daniel Antonio González-Padilla, Manuel Alonso-Isa, Jose Medina-Polo & Javier Romero-Otero

  2. Hospital Universitario HM Montepríncipe, Madrid, Spain

    Borja García-Gómez, Jose Medina-Polo & Javier Romero-Otero

Authors
  1. Borja García-Gómez
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  2. Daniel Antonio González-Padilla
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  3. Manuel Alonso-Isa
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  4. Jose Medina-Polo
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  5. Javier Romero-Otero
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Correspondence to Javier Romero-Otero.

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García-Gómez, B., González-Padilla, D.A., Alonso-Isa, M. et al. Plication techniques in Peyronie’s disease: new developments. Int J Impot Res 32, 30–36 (2020). https://doi.org/10.1038/s41443-019-0204-1

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