Peyronie's disease
Penile plication
- Once patient intubated, position supine and inject 20ug alprostadil in 1mL sterile water (do not use saline), inject into lateral corpus
- Prep, drape, give cefazolin, and place catheter (capped)
- Assess penile curvature, making longitudinal incision opposite maximal curvature (ventral midline if dorsal curvature only)
- Incise layers down to tunica albuginea over corpora, taking care to avoid urethra
- Use small retractors to assess corpora, choose proximal and distal areas at point of maximal bulge
- Place non-absorbable braided stitch in a 2-1-4-3 fashion, tie down to bury the knot
- After placing 3-4 stitches, assess erection for residual curvature
- Close deep layers x2 with monocryl or vicryl then close skin with subcuticular 4-0 monocryl, apply dermabond, telfa, and compressive dressing