The most suitable material for albuginea substitution in La Peyronie's disease has not yet been found. Vascularized tissue seems to offer a theoretical advantage over free graft whether of autologous or heterologous material. In fact, vascular supply avoids contraction and fibrotic scarring which occurs with time and is mainly responsible for relapse of penile curvature in long-term follow-up. Use of fascia temporalis is very attractive since its tissue is very similar to the tunica albuginea. Pedicled preputial patch has frequently been used in various techniques of urethral reconstruction. Microsurgical dissection of the neurovascular bundle is carried out longitudinally along the dorsal midline and under operating microscope. This procedure greatly reduces the involuntary lesions of nerves and arteries and allows good identification and removal of diseased tissue. Experience in the management of La Peyronie's disease, treated with Nesbit operation or plaque excision and albuginea substitution with pedicled flap island of deepithelialized foreskin, is described.
|Translated title of the contribution||The 'nerve sparing' technique in the microsurgical dissection of the neurovascular bundle, plaque excision and albuginea substitution with pedicled flap of the foreskin in the treatment of Peyronie's disease|
|Number of pages||2|
|Journal||Acta Urologica Italica|
|Issue number||SUPPL. 2|
|Publication status||Published - 1993|
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