EGYDIO INSTITUTE

MEN’S SEXUAL HEALTH

EGYDIO TECHNIQUE

SPECIALIST CLINIC · SÃO PAULO

Egydio Technique: Geometric Principles in Penile Reconstruction

Developed by Dr. Paulo Egydio, the technique uses geometric principles to plan the location, shape, and extent of incisions in the tunica albuginea according to each patient’s deformity.

It may be used in selected cases of Peyronie’s Disease, congenital penile curvature, and reconstruction performed alongside penile implant surgery, with the aim of correcting anatomical changes and improving sexual function.

ABOUT THE TECHNIQUE

Restoration of Penile Size and Girth

Also known as the Egydio method or Egydio strategy, this technique refines an internationally established approach to correcting penile curvature.

In addition to straightening the penis, the technique allows restoration of penile size and girth affected by these conditions, within the limits imposed by the nerves.

It was developed by Dr. Paulo Egydio during his doctoral studies at Hospital das Clínicas, University of São Paulo, and is patented in the United States and Europe.

HOW IT WORKS

How the Correction Method Works

Known as the geometric principles technique, it involves making multiple small incisions in a carefully selected area of the patient’s tunica albuginea, allowing the tissue to expand.

INCISIONS

Horizontal

In patients with loss of penile size, horizontal incisions are made to lengthen the tissue and restore the penis’s original dimensions.

INCISIONS

Vertical

In patients with penile narrowing, the incisions should be vertical, allowing lateral expansion and restoration of girth.

TREATMENT GOALS

What Does Penile Reconstruction Aim to Correct?

The Egydio Technique is planned according to penile curvature, deformities, dimensions, and erection quality. The goal is to address anatomical changes and improve sexual function while respecting each patient’s individual limitations.

Assess curvature, narrowing, and areas of shortening.

Promote straightening without shortening the longer side.

Plan incisions while protecting the nerves, blood vessels, and urethra.

Restore a healthy sex life with good penile function.

The Egydio Technique and Penile Implants Serve Different Purposes

A penile implant is indicated to provide firmness in selected cases of erectile dysfunction. When curvature, narrowing, shortening, or other deformities are also present, reconstructive maneuvers planned using geometric principles may be performed alongside implantation.

COMPARISON OF APPROACHES

How Does the Egydio Technique Differ from Plication?

In surgery to correct penile curvature, the approach may target the longer side or promote expansion of the shortened side. The choice depends on each patient’s anatomical and functional characteristics.

Plication and Nesbit Techniques

Act on the longer side of the penis to promote straightening.
May cause additional loss of penile length.
Do not directly expand narrowed areas.
May be indicated for selected types of curvature when penile length and erectile function are preserved.

Egydio Technique

Acts on the side shortened by the deformity.
Uses geometric principles to plan the incisions.
Aims to correct curvature while minimizing additional shortening.
May address narrowing, constrictions, and complex deformities.
May be combined with penile implant surgery when indicated.

PATIENT EXPERIENCE

What Sets Care at the Egydio Institute Apart

Care involving intimate health concerns requires privacy, clarity, and continuity. Discover some of the features that define the patient experience at the Egydio Institute.

Privacy from the Moment You Arrive

Upon arrival, you are taken to a private room rather than waiting in a shared reception area. Our facility is designed to provide discretion and comfort.

Online Preliminary Assessment

You complete a form about your medical history and symptoms. Based on your answers, you receive personalized initial guidance by email.

Care Provided by Dr. Paulo

Dr. Paulo Egydio personally oversees every stage of care, including evaluation, treatment planning, surgery when indicated, and postoperative follow-up.

Support for Patients with Health Insurance

If you have health insurance, our team provides guidance on the documents, requests, and administrative steps related to your insurance plan.

QUESTIONS ABOUT THE PROCEDURE

Frequently Asked Questions About the Egydio Technique

Learn how geometric principles are used to plan penile reconstruction and in which situations the technique may be considered.

How Does the Egydio Technique Differ from Surgeries That Shorten the Longer Side?

In plication surgery and the Nesbit technique, straightening is achieved through sutures or by shortening the longer side of the penis. Depending on the deformity, this may cause some additional loss of length.

The Egydio Technique follows a different principle: it acts on the side shortened by the deformity, promoting its expansion to help straighten the penis. The suitability of each approach depends on the patient’s curvature, penile dimensions, and erectile function.

Can the Egydio Technique Prevent Loss of Penile Length?

The technique seeks to correct the deformity without reducing the longer side of the penis, minimizing the additional shortening associated with reduction surgeries.

In selected cases, expanding the shortened side may allow better use of the available length. The outcome, however, depends on fibrosis, individual anatomy, and the limits of the nerves, blood vessels, and other tissues.

Does the Egydio Technique Treat Only Curvature?

No. In addition to the degree and direction of the curvature, planning may take into account narrowing, constrictions, hourglass deformity, and areas of shortening.

Geometric principles help define the location, shape, and extent of the incisions required to treat the deformities identified in each patient.

Why Does the Egydio Technique Use Geometric Principles?

Geometric principles make it possible to analyze the difference between the sides of the penis and to plan the incisions according to the point of greatest deformity.

This means that the surgery does not follow a single, standard incision pattern. Planning takes into account anatomy, the type of curvature, the presence of narrowing, penile dimensions, and erection quality.

Can the Egydio Technique Be Combined with Penile Implant Surgery?

Yes, when erectile dysfunction is also present and a penile implant is indicated. In this context, the procedures serve complementary purposes.

The implant provides the rigidity needed for sexual intercourse, while reconstructive maneuvers address curvature, narrowing, shortening, or other deformities that the implant alone may not correct.

Is Everyone with Peyronie’s Disease a Candidate for the Egydio Technique?

No. The Egydio Technique is a surgical option for selected cases. The indication takes into account the stability of the disease, the impact of the deformity, the ability to achieve penetration, penile dimensions, and erection quality.

Early-stage cases, or deformities that do not compromise sexual function, may call for other recommendations. The decision is individual and depends on a medical evaluation.

FIRST STEP

Request Your Online Preliminary Assessment

Complete a brief form about your medical history and current concerns. Within 24 hours, you will receive initial guidance about your case by email, at no cost and with no obligation to schedule an appointment.

Receive initial guidance within 24 hours

Guidance personally prepared by Dr. Paulo

Care for international patients

Confidentiality at every stage

Discreet Care from Your First Contact

We understand that men’s sexual health concerns require care and discretion. That is why your information is handled confidentially, and your privacy is respected at every stage of care.