What surgical methods are available for Peyronie’s disease?

There are several surgical methods described in the literature for the treatment of Peyronie’s disease, including approaches based on geometric principles. In Peyronie’s disease, scar tissue resulting from microtrauma during sexual activity, sports practice, or accidents can lead to the formation of fibrous plaques in the penis, which may cause curvature. Treatment may be medical or surgical. Below, learn about the main surgical methods for Peyronie’s disease.

When is surgery indicated for Peyronie’s disease?

According to Dr. Paulo Egydio, Peyronie’s surgery may be considered when medical treatment does not stabilize the curvature and the penis loses functionality, meaning there is difficulty with penetration. In addition, there are multiple types of surgery for penile curvature, which we will detail throughout this article.

What are the main surgical methods for Peyronie’s disease?

Surgical methods for Peyronie’s disease may shorten the longer side, lengthen the shorter side, or address both sides depending on the technique.

Techniques that shorten the longer side:

Surgical techniques that shorten the longer side should generally not be used in cases with penile shaft narrowing, because narrowing may become more noticeable and can lead to instability during erection.

1) Nesbit technique

The Nesbit technique removes tissue from the longer side to equalize both sides. In more pronounced curvatures, penile length may decrease by up to 5 cm.  

2) Kelami–Nesbit technique

In the modified Nesbit technique, the surgeon uses an Allis clamp to identify where and how much tissue should be removed to correct the penile axis. This procedure may trigger new fibrosis.

3) Lue 16-dot technique

In the Lue 16-dot technique, the surgeon creates parallel folds on the longer side of the penis and fixes them with sutures to align it with the shorter side.

4) Modified Yachia corporoplasty

Peyronie’s surgery using the Yachia technique involves a vertical incision in the tunica albuginea on the longer side and a horizontal suture to straighten the penis.

5) Essed–Schroeder plication technique

Typically used for downward curvature, the Essed–Schroeder technique applies the concept of penile plication, where the physician creates folds opposite the curvature.

6) Egydio STAGE technique

The Egydio STAGE technique is a technical variation based on the method described by Nesbit, using geometric principles for incision planning.

Techniques that lengthen the shorter side

Techniques that lengthen the shorter side are often considered for more pronounced curvatures, penile narrowing, and associated loss of length.

1) Peyronie’s surgery with Devine–Horton dermal graft

The surgeon removes fibrosis from the tunica albuginea and grafts tissue from another part of the body—often the leg—to cover the exposed area. This technique does not reduce penile length.

2) Sampaio parallel I-shaped incision

The Sampaio parallel technique involves a small opening in the tissue to lengthen the penis, without tissue removal or the use of a graft.

3) Gelbard relaxing incisions

Multiple relaxing incisions are performed to expand the tissue. This approach is used when penile prosthesis implantation is associated with Peyronie’s disease.

4) Lue H-shaped technique

Penile tissues are lengthened through an H-shaped incision.

5) Egydio geometric principles

Peyronie’s surgery in which the incision is planned based on geometric calculations to expand tissues and correct alignment.

6) Egydio Sansalone technique

A method that also uses geometric concepts for more structured incisions.

7) Miranda geometric model

It applies the geometric principles developed by Dr. Paulo Egydio with computer-assisted support, enabling a structured surgical plan based on geometric modeling.

8) Gaffney lengthening strategy

Different incision patterns are used to promote tissue lengthening, aiming to increase length while preserving nerves and the urethra.

9) Egydio graft-free geometric method

It targets lengthening of tissues stiffened by fibrous plaques, with the aim of expanding tissues and allowing better accommodation of a penile prosthesis when indicated.

How does the urologist choose the best surgical method?

Dr. Paulo Egydio explains that the most appropriate surgical method for Peyronie’s disease depends on each patient’s specific characteristics. The choice of technique depends on individualized clinical and anatomical criteria, including whether penile narrowing or reduced length is present, among other anatomical and functional factors.

Why seek a physician experienced in Peyronie’s disease?

Surgical techniques for Peyronie’s disease are complex procedures, as penile curvature can vary in severity and may be associated with narrowing, shortening, and erectile dysfunction. An evaluation by a physician experienced in Peyronie’s disease allows an individualized assessment and selection of the most appropriate surgical strategy based on technical criteria.

Schedule your appointment with Dr. Paulo Egydio

Surgery for Peyronie’s disease requires careful evaluation and individualized technical planning. To clarify questions and receive an individual assessment, you can fill out the pre-assessment form to schedule an appointment.