title: Venous patch graft for Peyronie's disease. Part I: technique.
abstract: OBJECTIVE
  We describe our technique of plaque incision and venous patch grafting to correct complex penile deformity associated with Peyronie's disease.
  
  
  METHODS
  Graft material is obtained from the lower and upper saphenous and deep dorsal veins. The configuration, size and number of tunical incisions depend on the site and size of the lesion. In most cases an H-shaped tunical incision is adequate to release the contracture. With the aid of a vascular stapler several vein segments can be assembled easily into 1 piece to cover the defect.
  
  
  RESULTS
  The incidence of penile shortening and erectile dysfunction, following other corrective procedures, is lessened with the tunical incision and venous grafting technique.
  
  
  CONCLUSIONS
  The venous graft provides an anatomical and functional tunical substitute. Results in correction of Peyronie's disease are highly encouraging.
authors.affiliation: Department of Urology, University of California School of Medicine, San Francisco, USA.
authors.forename: T F
authors.initials: TF
authors.lastname: Lue
authors.forename: A I
authors.initials: AI
authors.lastname: El-Sakka
mesh_terms: D006801:Humans; D008297:Male; D010411:Penile Induration / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*; D014680:Veins / Q000637:transplantation*