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First worldwide correction of ventral Peyronie’s disease utilizing rigicon inflatable penile prosthesis combined with plaque incision & grafting with collagen fleece (PICS-technique) for residual curvature

International Journal of Impotence Research (2024)Cite this article

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Abstract

Adjunctive residual curvature correction by plaque incision and grafting with a sutureless graft during inflatable penile prosthesis (IPP) implantation in patients with Peyronie’s disease (PD) is our preferred technique. The PICS Technique (Penile Implant in Combination with the Sealing Technique) uses a self-adhesive collagen fleece (TachoSil®, Corza Medical, MA, USA) to cover the defect after plaque incision. The graft does not require sutures improving operative speed and avoiding needle stick of the implant cylinders. In this article, we present the first known application worldwide of a Rigicon Infla10® X (Rigicon, Ronkonkoma, NY, USA) device to Peyronie’s ventral curvature. The patient’s residual curvature of 80° after implantation was corrected by PICS through an additional subcoronal incision. At the conclusion of surgery, the penis was totally straight and rigid. No intra- and postoperative complications occurred. At the early follow-up of 12 weeks postoperatively, the patient was able to inflate and deflate the device and sexual intercourse was possible. A combination of the Rigicon Infla10® X and the PICS Technique represents a safe and successful approach for residual curvature correction during IPP in patients with ventral Peyronie’s curvature. The Rigicon Infla10® X device showed excellent rigidity, and controlled expansion of the X cylinders means it can be used with the PICS Technique without restrictions. Early results are promising. Long-term follow-up and more patients are needed.

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Fig. 1: Bottom-up aspect.
Fig. 2: Residual penile curvature (80° ventral) after inflating the IPP to maximum, following degloving and mobilization of the urethra.
Fig. 3: Defects of tunica albuginea following two plaque incisions at area of maximum curvature ventrally (device visible and inflated to maximum).
Fig. 4: Defects of tunica albuginea are closed (sealed) using collagen fleece.

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Authors and Affiliations

  1. Department of Urology, Martha-Maria Hospital Nuremberg, Nuremberg, Germany

    Georgios Hatzichristodoulou

  2. Department of Urology, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey

    Mehmet Hamza Gültekin, Hamdi Özkara & Emre Akkus

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  1. Georgios Hatzichristodoulou
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  2. Mehmet Hamza Gültekin
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  3. Hamdi Özkara
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  4. Emre Akkus
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Contributions

Conception and design of the study: GH, EA. Data acquisition: GH, MHG, HÖ, EA. Analysis and interpretation of data: GH, MHG, HÖ, EA. Drafting the manuscript: GH. Style revision: GH, MHG, HÖ, EA. All authors revised the manuscript and read and approved the version submitted.

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Correspondence to Georgios Hatzichristodoulou.

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Hatzichristodoulou, G., Gültekin, M.H., Özkara, H. et al. First worldwide correction of ventral Peyronie’s disease utilizing rigicon inflatable penile prosthesis combined with plaque incision & grafting with collagen fleece (PICS-technique) for residual curvature. Int J Impot Res (2024). https://doi.org/10.1038/s41443-024-00873-y

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