Clavell- Hernandez, J

Peyronies, Penile Prosthesis, Erectile Dysfunction, Incision and Grafting

Historically, surgeons performing penile prosthesis placement with incision and grafting have made incisions at the point of maximal curvature (POMC). For men with severe Peyronie’s disease, this typically results in a large defect requiring a large structural graft. This video demonstrates the SAPOC technique which stands for “Slices Around the Point of Curvature”. The SAPOC technique is a variation of the multiple slit technique but focuses on making incisions around the POMC instead of at the POMC. This allows for curvature correction and length restoration while leaving smaller defects that in many occasions do not require placement of a structural graft. This can also decrease operative time and theoretically will lower the risk of cylinder herniation.

Consultant for Boston Scientific and Coloplast

References:

1. Panuganti S, Kannady C, Wang R. Expanding the limits-improving penile length with inflatable penile prosthesis implantation: a review. Sex Med Rev 2021. Jul:9(3):498-506.

2. Falcone M, Preto M, Peretti F, Gontero P, Pyrgidis N, Sokolakis I, Hatzichristodoulou G. The use of collagen fleece to correct residual curvature during inflatable penile prosthesis implantation (PICS technique) in patients with complex Peyronies Disease: a multicenter study. J Sex Med 2023 Feb 14;20(2):229-235.

3. Clavell-Hernandez J, Ziegelmann MJ. Peyronie’s Disease: Surgical Management. AUA Core Curriculum. Feb 2023.

4. Clavell-Hernandez J, Wang R. Penile size restoration with nondegloving approach for Peyronie’s Disease: Initial Experience. J Sex Med. 2018 Oct;15(10):1506-1513.