Cordon Billy H, Osmonov Daniar, Hatzichristodoulou Georgios, Morey Allen F
Columbia University Division of Urology at Mount Sinai Medical Center, Miami Beach, FL, USA.
Department of Urology and Pediatric Urology, University Hospital Schleswig Holstein, Campus Kiel, Germany.
Transl Androl Urol. 2017 Aug;6(4):639-644. doi: 10.21037/tau.2017.07.18.
Penile plication has become the preferred surgical technique for Peyronie's disease (PD) as it can be performed efficiently, safely, with a high success rate, low morbidity and a low complication rate. Here in we describe two modern plication techniques in detail: the Kiels Knot plication and the minimally invasive penoscrotal plication. Benefits of the techniques include no palpable sutures for the Kiels Knot Plication and less surgical trauma for the penoscrotal plication. Plication has a low rate of failure. However, when it does occur it is usually secondary to under-correction. Failures typically present early postoperatively and a contributing factor to underestimating the deformity is a poor intraoperative artificial erection. Complex, severe, or multiplanar deformities will require more sophisticated intraoperative decision-making, but can be managed effectively with penile plication nonetheless.
阴茎折叠术已成为佩罗尼氏病（PD）首选的手术技术，因为它操作高效、安全，成功率高，发病率低且并发症发生率低。在此，我们详细描述两种现代折叠技术：基尔斯结折叠术和微创阴茎阴囊折叠术。这些技术的优点包括基尔斯结折叠术无明显可触及的缝线，阴茎阴囊折叠术手术创伤较小。折叠术失败率较低。然而，当失败发生时，通常是由于矫正不足所致。失败通常在术后早期出现，术中人工勃起不佳是低估畸形的一个促成因素。复杂、严重或多平面畸形需要更复杂的术中决策，但阴茎折叠术仍可有效处理。
