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Peyronie's Disease Surgery - Considerations, Tips, and Pitfalls

William O. Brant, MD, FACS, FECSM, explores surgical approaches for Peyronie’s disease. In this 19-minute presentation, Dr. Brant focuses on penile curvature correction. Dr. Brant categorizes procedures into shortening, lengthening, and prosthesis-based techniques, emphasizing that patient perception of penile length often differs from objective measurements. He highlights the importance of patient counseling, as plication may result in a perceived loss of length, whereas grafting procedures can compromise erectile function. Dr. Brant discusses graft materials such as saphenous vein and buccal mucosa, noting that each has benefits and drawbacks. He also discusses incision choices, which are determined by the deformity. He reviews evidence that traction therapy enhances outcomes for both plication and grafting procedures, leading to better length preservation and satisfaction. Dr. Brant asserts that surgical choices should be tailored to individual patient anatomy, erectile function, and willingness to commit to postoperative rehabilitation. Don't forget to join the GRU Community: https://grandroundsinurology.com/regi... Follow us on Twitter/X: https://x.com/GRUrology And like and subscribe to us here on YouTube!