title: Penile prosthesis implant with bi-triangular excision and graft for surgical therapy of Peyronie's disease: A case report.
abstract: We present a case of a 65-year-old man, who presented with moderate erectile dysfunction and a dorsal penile deviation of 60° caused by Peyronie's disease. The patient underwent bi-triangularshaped plaque excision, followed by grafting and implantation of inflatable penile prosthesis. Complete penile straightening, without mechanical or geometric abnormalities, was achieved using bi-triangular excision and grafting. Postoperatively, the patient reported high satisfaction with the results and could perform sexual intercourse naturally. This novel technique corrects any degree of penile curvature, permits malleable and semi-rigid penile prosthesis implantation, avoids penile length loss, and eliminates additional incisions. To our knowledge, this case is the first in the literature in which the bi-triangular technique was successfully used for penile prosthesis implantation secondary to Peyronie's disease. This new technique appears to be a good solution to correct penile curvature during penile prosthesis implantation for the treatment of Peyronie's disease associated with erectile dysfunction.
authors.affiliation: Reconstructive Urology and Andrology Section, Department of Urology, Ipanema Federal Hospital and Urogenital Research Unit, State University of Rio de Janeiro, UERJ, Rio de Janeiro. contato@alexandremiranda.com.br.
authors.forename: Alexandre
authors.initials: A
authors.lastname: de Freitas Miranda
authors.forename: Bruno
authors.initials: B
authors.lastname: Lopes Cançado Machado
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D010410:Penile Erection; D019935:Penile Implantation / Q000379:methods*; D010411:Penile Induration / Q000601:surgery*; D015917:Penile Prosthesis; D016896:Treatment Outcome