+ 11 3077-3647


Penile Restoration using circular grafting – BJUI 2013

To report patient outcomes and satisfaction with our technique for penile length and girth restoration in severe Peyronie’s disease (PD). 

Patients and methods

Between November 2006 and November 2011, 105 men with severe PD and erectile dysfunction (ED) underwent surgical correction using our new approach. The technique consists of penile prosthesis implantation with concomitant penile lengthening and girth restoration through circular and longitudinal incisions in the tunica albuginea according to geometric principles. 


The overall patient satisfaction rate was 89.4%. The mean (sd; range) functional penile length gain was 3.6 (0.7; 2-5) cm. Patient satisfaction with penile length gain was 95.2%. Three patients (2.9%) developed retraction with residual curvature of up to 30°, but no re-operation was necessary. In one (1%) patient, the prosthesis had to be removed because of wound infection. At a mean (sd; range) follow-up of 18.2 (5.9; 6-46) months, 104 patients (99%) were able to have sexual intercourse. 


Our surgical approach for penile length and girth restoration leads to high patient satisfaction rates and excellent functional outcomes. Our surgical approach is a safe and valid therapeutic method for the treatment of severe PD associated with ED.

Egydio PH, Kuehhas FE, Sansalone S. Penile Length and Girth Restoration in Severe Peyronie’s Disease Using Circular and Longitudinal Grafting. BJU Int. 2013 Apr;111(4 Pt B):E213-9.


Dr.Paulo Egydio

Dr.Paulo Egydio

doctor Paulo Egydio is dedicated to the treatment of curvature
penile and prothetic implant. penile and prosthetic implant.

doctor Paulo Egydio is dedicated to the treatment of curvature
penile and prosthetic implant.

Related Readings


Penile Fracture: Can the penis break?

Penile fracture, or penile trauma, is an extremely important issue to men. That is so because if it does happen, it can turn into a