Peyroine s disease with gross curvature

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Conference Name: LIVE Operative Urology Workshop

Conducted by: Dr Sanjay Pandey, KDAH, Mumbai

Surgeon(s)/Speaker(s): Dr Sanjay Pandey, Dr Beejoy Abraham, Dr Ismail Attar

Surgical Procedure: Urology-Peyronie disease Corpoplatsty

Location: Kokilaben Dhirubhai Ambani Hospital and research Institute Mumbai

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Indexsteps

1. 1. Circumcoronal incision :

2. 2. Degloving of the shaft of Penis : Degloving of the shaft of Penis in the right plane upto the base of the shaft

3. 3. 1st Penile erections : 1st Penile erections with tourniquet to assess curvature, primary and secondary including torque

4. 4. Marking of the concavity : Marking of the concavity and incision site/ sites

5. 5. Lifting of the Neurovascular bundles :

6. 6. Repeat penile erections of the shaft :

7. 7. Incision of the plaque : Incision of the plaque – Transverse at the summit of the plaque with H shaped configuration

8. 8. Antibiotic solutions irrigation :

9. 9. Assessment of the size of the defect created :

10. 10. Bovine pericardium : Bovine pericardium of appropriate size is used by opening, washing well with NS in 3 solutions, and then used to approximate on the defect

11. 11. Closure of the defect : Closure of the defect with PDS 3-0/4-0 in water tight fashion

12. 12. Nesbit’s plication : Nesbit’s plication for any contralateral secondary curvatures / torque

13. 13. Repositioning of the NV bundle : Repositioning of the NV bundle covering all defects and thus fina apporision

14. 14. Repositioning of the penile skin after hemostasis :

15. 15. Closure of the circumcision wound :