Skip to main content

Thank you for visiting 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 outcomes from limiting the use of nonabsorbable suture in tunica albuginea plication for Peyronie’s disease


Tunica albuginea plication (TAP) surgery for Peyronie’s disease (PD) is classically described using nonabsorbable suture. Many patients are aware of nodularity at the suture sites (50–88%), and some find them painful (10–33%). We explore whether limiting permanent sutures provides a durable correction of curve and report the incidence of bothersome nodules. Beginning in 2007, we modified our TAP procedure to limit the use of permanent sutures. We reviewed all patients who underwent TAP procedures from 2007 to 2014 at our institution. Patients were contacted to complete a previously published survey regarding postoperative satisfaction. In total, 142 PD patients underwent the TAP procedure and 81/142 (57%) completed the postoperative survey. Mean office follow-up and survey follow-up were 17.3 and 56.3 months, respectively. Of the surveyed patients, 6.2% complained of a bothersome residual curve, 19.8% experienced nodularity and 4.9% reported bothersome nodules. Men with dorsal curves experienced less painful nodularity than those with ventral (P=0.047) or lateral curves (P=0.017). In total, 4/142 (2.8%) of men underwent repeat intervention. At long-term follow-up, limiting permanent sutures during TAP procedures for PD is durable with respect to curvature correction and has encouragingly low levels of nodularity and bother at suture sites.

Access options

Rent or Buy article

Get time limited or full article access on ReadCube.


All prices are NET prices.

Figure 1


  1. 1

    Mulhall JP, Creech SD, Boorjian SA, Ghaly S, Kim ED, Moty A et al. Subjective and objective analysis of the prevalence of peyronie’s disease in a population of men presenting for prostate cancer screening. J Urol 2004; 171: 2350–2353.

    Article  Google Scholar 

  2. 2

    Levine LA, Larsen SM . Surgery for Peyronie’s disease. Asian J Androl 2013; 15: 27–34.

    Article  Google Scholar 

  3. 3

    Levine LA, Dimitriou RJ . A surgical algorithm for penile prosthesis placement in men with erectile failure and Peyronie's disease. Int J Impot Res 2000; 12: 147–151.

    CAS  Article  Google Scholar 

  4. 4

    Levine LA, Lenting EL . A surgical algorithm for the treatment of Peyronie's disease. J Urol 1997; 158: 2149–2152.

    CAS  Article  Google Scholar 

  5. 5

    Mulhall J, Anderson M, Parker M . A surgical algorithm for men with combined Peyronie's disease and erectile dysfunction: functional and satisfaction outcomes. J Sex Med 2005; 2: 132–138.

    Article  Google Scholar 

  6. 6

    Papagiannopoulos D, Yura E, Levine L . Examining postoperative outcomes after employing a surgical algorithm for management of Peyronie's disease: a single-institution retrospective review. J Sex Med 2015; 12: 1474–1480.

    Article  Google Scholar 

  7. 7

    Shefi S, Pinthus JH, Mor Y, Raviv G, Ramon J, Hanani JI . To bury the knot, then, is better than not. Urology 2008; 71: 1206–1208.

    Article  Google Scholar 

  8. 8

    Gholami SS, Lue TF . Correction of penile curvature using the 16-dot plication technique: a review of 132 patients. J Urol 2002; 167: 2066–2069.

    Article  Google Scholar 

  9. 9

    Chahal R, Gogoi N, Sundaram S, Weston P . Corporal plication for penile curvature caused by peyronie's disease: the patients' perspective. BJU Int 2001; 87: 352–356.

    CAS  Article  Google Scholar 

  10. 10

    van der Horst C, Portillo FJM, Melchior D, Bross S, Alken P, Juenemann K . Polytetrafluoroethylene versus polypropylene sutures for essed-schroeder tunical plication. J Urol 2003; 170: 472–475.

    CAS  Article  Google Scholar 

  11. 11

    Schultheiss D, Meschi MR, Hagemann J, Truss MC, Stief CG, Jonas U . Congenital and acquired penile deviation treated with the essed plication method. Eur Urol 2000; 38: 167–171.

    CAS  Article  Google Scholar 

  12. 12

    Basiri A, Sarhangnejad R, Ghahestani SM, Radfar MH . Comparing absorbable and nonabsorbable sutures in corporeal plication for treatment of congenital penile curvature. Urol J 2011; 8: 302.

    PubMed  Google Scholar 

  13. 13

    Iacono F, Prezioso D, Ruffo A, Illiano E, Romeo G, Amato B . Tunical plication in the management of penile curvature due la Peyronie’s disease. our experience on 47 cases. BMC Surg 2012; 12: 1.

    Article  Google Scholar 

Download references

Author information



Corresponding author

Correspondence to L A Levine.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Additional information

Supplementary Information accompanies the paper on International Journal of Impotence Research website

Supplementary information

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Papagiannopoulos, D., Phelps, J., Yura, E. et al. Surgical outcomes from limiting the use of nonabsorbable suture in tunica albuginea plication for Peyronie’s disease. Int J Impot Res 29, 258–261 (2017).

Download citation

Further reading


Quick links