1-800-TEMPLE-MED

Reconstructive Urology

Reconstructive Urology

In order to restore proper urinary, sexual and reproductive function in patients with uretheral strictures, pelvic trauma, and certain congenital conditions, reconstructive surgery may be required. At Temple, we offer the following reconstuctive procedures:


Plication

Plication is a surgical treatment for Peyronie's disease. It is intended for patients with fully mature Peyronie's disease causing a penile curvature that significantly interferes with sexual intercourse. Interference is usually defined as a curve that prevents penetration or causes discomfort to the sexual partner. Patients with only mild curvatures are discouraged from undergoing plication surgery.

The goal of plication surgery is to equalize the lengths of the sides of the penis. Plication specifically involves shortening the longer side of the penis so that it matches the shorter side.

During the procedure, a Temple surgeon temporarily removes the outer skin covering of the penis. The surgeon identifies the location of the curvature and applies temporary sutures to straighten the area. He or she then creates permanent oval-shaped incisions on the connective tissue within the penis — the exact location depends on the direction of the curvature. Once sutured, these incisions serve to permanently straighten the shaft. Once the incisions are complete, the patient is given an artificial erection to ensure the curvature has been corrected, before the penile skin is reattached.

To schedule an appointment with a Temple urologist, click here or call
1-800-TEMPLE-MED (1-800-836-7536).

Penile Graft

Penile grafts are another surgical option to correct Peyronie's disease. Like plication surgery, the goal is to equalize the lengths of the sides of the penis, but graft surgery instead aims to lengthen the shorter side of the penis. This is accomplished by removing plaque and surgically adding tissue to the shorter side of the shaft.

Many different types of grafts can be used, though Temple surgeons prefer using dermis, a type of tissue found between muscle and fat.  Dermis is easily removed from the area of the abdominal wall known as the "love handles." During the surgery, the surgeon temporarily removes the outer skin of the penis before making an H-shaped incision where the plaque is most significant. The release of plaque lengthens the side of the penis, and the graft is then attached to cover the open space of the newly lengthened shaft. The outer skin of the penis is then reattached.

To schedule an appointment with a Temple urologist, click here or call
1-800-TEMPLE-MED (1-800-836-7536).

Re-do Hypospadias Surgery

The goal of this surgery is to correct urethral strictures in adult patients who underwent hypospadias surgery when they were children. When these patients develop strictures, they may not be aware that their urine flow is compromised since they lack a basis for comparison. Because of this, they only tend to seek treatment once an infection or chronic prostatitis has already occurred.

When patients are seeking re-do hypospadias surgery, they are encouraged to bring a type of summary of their original surgery called "operative dictations." Knowledge of the exact method of the original surgery will help Temple's urologists decide on the best way to perform a second procedure.

The exact method of treatment is different for every patient; however, the goal is always to narrow the urethra, correct downward curvature of the penis and maintain the urethral opening at the tip of the penis.

To schedule an appointment with a Temple urologist, click here or call
1-800-TEMPLE-MED (1-800-836-7536).

Free Flap Phalloplasty

Free flap phalloplasty is a surgical treatment for patients who have sustained major penile injuries. During the procedure, a Temple urologist surgically reconstructs the penis using skin grafted from another area of the body. Common donor sites include the pubic area, forearm, leg and side of the chest. Following the graft surgery, an erectile prosthesis is implanted into the reconstructed penis to allow erections to occur.

To schedule an appointment with a Temple urologist, click here or call
1-800-TEMPLE-MED (1-800-836-7536).