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. 2021 Oct:87:106451.
doi: 10.1016/j.ijscr.2021.106451. Epub 2021 Sep 25.

Peyronie disease: Our first experience with Ducket Baskin tunica albuginea plication (TAP) technique

Hendy Mirza  1 , Rio Rahmadi  2
Affiliations

Peyronie disease: Our first experience with Ducket Baskin tunica albuginea plication (TAP) technique

Hendy Mirza et al. Int J Surg Case Rep. 2021 Oct.

Abstract

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.

Keywords: Ducket-Baskin; Penile curvature; Penile deformity; Peyronie disease; Tunica albuginea plication.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Patient's penis pre-operative.
Fig. 2
Fig. 2
Tunica albuginea plication process.
Fig. 3
Fig. 3
Tunica albuginea plication post-operation, length decrement of the penis appeared.
See this image and copyright information in PMC

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