The application of geometric principles in penile curvature has helped men worldwide reclaim their sexual lives. Learn more about this surgical technique.
The geometric principles in penile curvature described by Dr. Paulo Egydio represent a significant contribution to urology, as they have enabled more precise penis restoration.
For an idea of its importance, in the following years, the doctor was invited to perform live surgeries at the University of Rome “La Sapienza,” one of the oldest and largest higher education institutions in the world, and at the University of Belgrade, the largest and oldest public university in Serbia.
With the dissemination of the Egydio technique, as happened with the Nesbit technique, the geometric principles in penile curvature have been applied by various doctors worldwide.
Surgical Methods Enhanced by the Egydio Technique
The surgical techniques below, even those developed before the introduction of the Egydio Technique by Dr. Paulo Egydio, have been significantly enhanced by applying his precise geometric principles. This improvement has allowed for more accurate adjustments and assertive outcomes in penile curvature correction procedures.
- Nesbit Technique
- Kelami Nesbit Technique
- Yachia Technique
- Essed-Schroeder Technique
- Devine-Horton Technique
- Gelbard Incision Relaxation Technique
Geometric Principles in Penile Curvature Correction
The geometric principles in penile curvature allow for greater precision in surgery for Peyronie’s Disease and congenital curvature.
Using mathematical concepts such as tangent and bisector, it is possible to identify the point of maximum curvature where interventions – such as incisions, excisions, plications, and ellipses – are performed.
Besides the exact location, the geometric principles enable the identification of the number and size of interventions.
With this approach, the doctor can precisely determine the site of the surgical intervention, maximizing the likelihood that the size of the operation is exactly necessary, neither more nor less than ideal.
Sansalone Egydio Technique
The Sansalone Egydio technique was described by Italian physician Prof. Salvatore Sansalone.
In 2011, he applied the geometric principles in penile curvature in multicentric studies in Europe.
For this purpose, he performed double Y-shaped relaxation incisions in the tunica albuginea. The defect created was covered by a graft.
His study considered 157 patients affected by Peyronie’s Disease. After an average follow-up period of 20 months, no graft rejection was observed, and there was an average increase of 2.5 cm in the stretched penile length. Moreover, all patients were capable of having sexual intercourse with penetration.
Review of Gaffney’s Stretching Strategies
In 2016, urologist Christopher D. Gaffney published a study referencing different models of incisions that produce sliding.
Over time, relaxation incisions evolved from a single large cut – Egydio technique from 2000 – to multiple small cuts, eliminating the use of grafts.
These incisions produce slides in the tissues that lengthen the penile shaft up to the limits of the nerves and urethra and represent adjuvant maneuvers for placing the penile prosthesis after reconstruction of the limb. However, the Sansalone-Egydio technique faced a significant limitation due to the need to dissect the urethra, a strategy that increased the surgical risk.
Tunica Expansion Procedure
In 2020, Dr. Steve Wilson, a pioneer in penile implant surgery in the United States, published the evolution of geometric principles.
His work describes the creation of ever-smaller defects for penile curvature surgery, culminating in the TEP (Tunica Expansion Procedure).
In TEP, due to the increasingly smaller incisions and defects, the placement of grafts became unnecessary. The surgeon can apply it from either the long or short side of the penis up to the nerve limits. Because the incisions are small, the dissection of the urethra becomes unnecessary, further reducing a risk that was already considerably low.
What is the best surgery for correcting penile curvature?
Among the surgical techniques described in this text, it can be stated that the TEP currently represents the most updated option for correcting cases of penile curvature.
With it, it is possible to treat curvature by applying small incisions that dispense with penile grafts, on any side of the penis, up to the possible limit of the member.
However, this is not always the best technique or the most suitable for all patients. Depending on the anatomy of the member, whether the patient has undergone previous surgery, or the degree of penile involvement, the surgeon may operate with another surgical technique.
Knowing the available techniques that use geometric principles in penile curvature is essential for those who have received a surgical indication.
For this, check out Dr. Paulo Egydio’s WhatsApp channel. There, you will have even more details about them, be able to access reliable information, and clear all doubts before starting this treatment that aims to reclaim your sexual health.
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Read also
- What is penile fracture?
- Surgery for Peyronie’s Disease: Risks and Recommendations
- Egydio’s Technique: Peyronie Disease Treatment
- Does the Egydio Technique Work for Every Penile Curvature?
- Implante de Prótese Peniana | Dr. Paulo Egydio
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