Division of Urology, Department of Surgery, Persahabatan Hospital, Indonesia; Department of Urology, Cipto Mangunkusumo Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
Mirza, H., Division of Urology, Department of Surgery, Persahabatan Hospital, Indonesia; Rahmadi, R., Department of Urology, Cipto Mangunkusumo Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
Introduction: Peyronie's Disease is a deformity of the penis. Surgical procedure options for Peyronie's disease treatment include grafting (curvature >60?) or plication (curvature <60?). This case report emphasizes the curvature degree and therapy options chosen, such as tunica albuginea plication instead of grafting. Case presentation: A 55-year-old male complains about a curved penis during erection. Examination shows penile bending 70? ventrally with ?15 cm length and 2x4cm size. The patient underwent Ducket-Baskin tunica albuginea placation (TAP). Postoperative unbent penis size decrement of ?3 cm, neither pain nor erectile dysfunction felt. Clinical discussion: Tunica plication is usually recommended in Peyronie's disease patients with curvature less than 60?, without an hourglass or hinge if grafting is not available. This technique is more simple, safe, the higher success rate of curvature correction (> 80%), low recurrency, low complication rate of penile hypoesthesia (approximately 10%), as well as low risk for postoperative erectile dysfunction. Conclusion: In our case, the tunica albuginea plication technique gives a good outcome in Peyronie's disease reconstruction. ? 2021 The Authors