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I receive in Florence, Prato and Milan

Florence
Matteotti Medical Group
Viale Giacomo Matteotti, 42
50132 - Florence (FI)
Telephone: 055 570224
Florence Castello
Villa Donatello
Via Attilio Ragionieri, 101
50019 - Sesto Fiorentino (FI)
Telephone: 055 50975
Prato
Studi Medici Life
Viale della Repubblica, 141
59100 - Prato (PO)
Telephone: 0574 583501
Milan
Columbus Clinic Center
Via Michelangelo Buonarroti, 48
20145 - Milan (MI)
Telephone: 02 480 801

ANDROLOGICAL SURGERY

Corporoplasty

SURGERY


Straightening corporoplasty for penile curvature

The curved penis can be present during development (congenital) or acquired through the development of a penile plaque (Peyronie’s disease or induratio penis plastic).

When the curvature causes bowing or significant deformation of the rod with partial or total limitation of the penetrative activity or erectile deficit, surgical therapy is indicated.


There are 2 types of corporoplasties:

Simple corporoplasty: are surgical techniques that provide for the straightening of the penis without the removal of any scar typical of induratio penis plastic; allow excellent aesthetic results. They are classically indicated for the correction of congenital penile curvature.

• Corporoplasty with plaque surgery: they involve the removal of fibrotic tissue and its replacement with different materials. They are generally associated with a good aesthetic result with shortening which, although always present, is typically well accepted by patients. Long-term studies have shown an increase in erectile dysfunction in patients undergoing this type of surgery.

In the first case various surgical techniques are available. The operation is performed under loco-regional anesthesia or in some cases in general and generally involves the creation of elliptical incisions on the lining of the cavernous bodies on the side opposite the curvature by suturing the margins according to the Nesbit technique or by making a longitudinal incision and a subsequent transversal suture (Yachia technique). The number and precise location of these incisions are established during the operation on the basis of the extent of the curvature assessed by means of artificial erection which will also be practiced at the end of the operation to evaluate the result. At the end of the surgery, a circumcision is performed. A bladder catheter will be placed and a compression dressing performed which will be removed together with the catheter after 24 or 36 hours. The inevitable consequence of the intervention is a reduction in length of the organ of about 1-2 cm. After the operation it is advisable to abstain from sexual intercourse for about a month. Possible complications are represented by ecchymoses, hematomas, infections and diastasis (opening) of the wound, recurrence, pain.

In the second case, the surgical treatment of Peyronie’s disease must be carried out with the disease apparently stabilized in the absence of painful symptoms, providing for the correction of the recurvatum and the restoration of sexual function. It essentially uses three therapeutic modalities:

– shortening surgery: involves the removal of lozenges of albugineum tissue or the positioning of plication stitches contralaterally to the plate, the site of the curvature, to allow the straightening of the penis by acting on healthy tissue. necessarily involves a .reduction in the length of the rod

– lengthening surgery: involves the incision/remodeling of the fibrosclerotic tissue at the point of maximum deformity. Prevede then involves the grafting of autologous (graft) or heterologous (patch) materials into the site of the remodeled albugineum tissue. The graft serves to cover the cavernous tissue underlying the covering defect that occurs on the tunica albuginea in relation to the remodeling incision. In any case, the operation will never restore the length of the penis present before the development of the disease.

– prosthetic surgery, in the case of complete/partial erectile dysfunction and rod deformity.

The above techniques can be applied individually or even in combination in relation to the severity of the deformity and any associated erectile dysfunction. The objectives of surgical therapy are in any case aimed at correcting the recurvatum and restoring compromised sexual activity. Possible complications are represented by: haematomas, infections, glans vascularization disorders, urethra injuries, adverse reactions to the implanted material (in lengthening surgery). Relapses, infections, decreased sensitivity of the glans, skin blemishes and orgasm alterations may occur late.


For further information:

When should curved penis be operated on?

Which surgical treatment to choose for curved penis (Peyronie’s disease)?

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    I receive visits at the structures in Milan, Florence and Prato.

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    Florence | Matteotti Medical Group

    Viale Giacomo Matteotti, 42
    50132 – Florence (FI)
    Telephone: 055 570224

    Florence Castello | Villa Donatello

    Via Attilio Ragionieri, 101
    50019 – Sesto Fiorentino (FI)
    Telephone: 055 50975

    Prato | Studi Medici Life

    Viale della Repubblica, 141
    59100 – Prato (PO)
    Telephone: 0574 583501

    Milan | Columbus Clinic Center

    Via Michelangelo Buonarroti, 48
    20145 – Milan (MI)
    Telephone: 02 480801

    Dr. Andrea Cocci

    urologist and andrologist

    The decision to dedicate my professional life to urology and in particular to andrological and reconstructive surgery is the result of a deep passion for anatomy , the art of surgery and in general the diagnostic-therapeutic process which leads to the recovery of the patient. Oncological pathology, infertility, erectile dysfunction, penile diseases or simply prostate disorders irreparably afflict not only the individual but also the couple dimension.

    Receive in:
    Florence, Milan, Prato

    Dr. Andrea Cocci
    Urologist e andrologist

    I am fully convinced that listening to the patient, understanding their needs, evaluating their expectations is the only way to establish a successful and satisfying therapeutic program for both the doctor and the patient.