Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Surgical management: saphenous vein grafts

Abstract

Peyronie's disease is a medically and surgically challenging condition to manage. Most surgical techniques to correct the penile deformity often shorten the penis and do not address the issue of hourglass deformity when present. We describe our indications, rationale and technique for the use of a saphenous vein graft after a curvature correcting plaque incision. In reviewing multiple series, this approach yields similar results–incidence of residual curvature: 4–20%, decreased potency: 5–20%, penile shortening: 17–40%. While harvesting the vein would require a second incision, the use of autologous vein appears to be associated with the least amount of intracavernosal fibrosis. We propose that saphenous vein is currently the best material available for tunical patching. The technique and results of circular venous grafting for patients with severe penile shortening secondary to Peyronie's disease is also discussed.

This is a preview of subscription content, access via your institution

Access options

Buy article

Get time limited or full article access on ReadCube.

$32.00

All prices are NET prices.

Figure 1

References

  1. Ralph DJ, Al-Akraa M, Pryor J . The Nesbit operation for Peyronie's disease: 16-year experience J Urol 1995 154: 1362–1363

    Article  CAS  Google Scholar 

  2. Poulsen J, Kirkeby HJ . Treatment of penile curvature—a retrospective study of 175 patients operated with plication of the tunica albuginea or with the Nesbit procedure Br J Urol 1995 75: 370–374

    Article  CAS  Google Scholar 

  3. Lue TF, El-Sakka AI . Venous patch graft for Peyronie's disease. Part I: technique J Urol 1998 160: 2047–2049

    Article  CAS  Google Scholar 

  4. Gholami SS, Lue TF . Peyronie's disease Urol Clin N Am 2001 28: 377–390

    Article  CAS  Google Scholar 

  5. El-Sakka AI, Rashwan HM, Lue TF . Venous patch graft for Peyronie's disease. Part II: outcome analysis J Urol 1998 160: 2050–2053

    Article  CAS  Google Scholar 

  6. Brannigan RE, Kim ED, Oyasu R, McVary KT . Comparison of tunica albuginea substitutes for the treatment of Peyronie's disease J Urol 1998 159: 1064

    Article  CAS  Google Scholar 

  7. Montorsi F et al. Evidence based assessment of long-term results of plaque incision and vein grafting for Peyronie's disease J Urol 2000 163: 1704–1708

    Article  CAS  Google Scholar 

  8. Ralph DJ . What's new in Peyronie's disease? Curr Opin Urol 1999 9: 569–571

    Article  CAS  Google Scholar 

  9. Akkus E et al. Incisional venous patch in Peyronie's disease Int J Impot Res 1998 10: (Suppl3) A480 S66

    Google Scholar 

  10. Kadioglu A . Surgical treatment of Peyronie's disease with incision and venous patch technique Int J Impot Res 1999 11: 75–81

    Article  CAS  Google Scholar 

  11. Lue TF, El-Sakka AI . Lengthening shortened penis caused by Peyronie's disease using circular venous grafting and daily stretching with a vacuum erection device J Urol 1999 161: 1141–1144

    Article  CAS  Google Scholar 

  12. Friedman HE, Levitz S . A literature review of the Ilizarov technique and some applications for treating foot pathology J Foot Ankle Surg 1994 33: 30

    CAS  PubMed  Google Scholar 

  13. Wessells H, Lue TF, McAninch JW . Complications of penile lengthening and augmentation seen at one referral center J Urol 1996 155: 1617–1620

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to T F Lue.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Chang, J., Gholami, S. & Lue, T. Surgical management: saphenous vein grafts. Int J Impot Res 14, 375–378 (2002). https://doi.org/10.1038/sj.ijir.3900862

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ijir.3900862

Keywords

  • Peyronie's disease
  • saphenous vein graft
  • hourglass deformity
  • reconstructive surgery

This article is cited by

Search

Quick links