Temporalis Fascia Graft Procedure for Bent Penile Shaft Treatment

The temporalis fascia graft is the most versatile bent penile shaft treatment method for correcting complex or severe deformities. The best results are with grafts of living tissue, rather than with Dacron or other synthetics. We have found temporalis fascia to be the best material, in our hands. This thin but tough membrane is a reliable and effective graft, with a long and successful track record in a variety of reconstructive operations. See the Peyronie’s Disease photos below to follow the temporalis fascia graft treatment on a bent penile shaft.

Curvature Correction

plaque mark photo
reinsufflation photo

Approach to Narrowing

h-graft illustration

H-graft for combined bend and narrowing

h graft photo

Combined transverse and longitudinal relaxing incisions for bend with narrowing

graft indent photo

Temporalis fascia cut to fit the combined relaxing incisons

darted & grafted indent photo

Defect grafted

Complications of Graft Surgery

Erectile dysfunction from graft surgery occurs in 5 to 10% of patients. Age, diabetes, smoking, blood pressure medicines, and downward bend contribute to this risk. In most cases, medications will overcome the problem. Permanent penile sensory alteration happens less than 5% of the time. Failure to adequetely correct the deformity is a third risk of approximately the same magnitude. In properly selected candidates, overall satisfaction with the outcome of surgery is in the 85 to 90% range.