Surgical Insights on Peyronie’s Disease by Prof. Gabriele Antonini

These images, intended for a medical audience and educational purposes, may be intense for those unaccustomed to surgical scenes. The surgery you see on this video was performed by Prof. Gabriele Antonini.

The Scratch Technique, featured in this video, provides a detailed description of the surgical procedure performed by Prof. Gabriele Antonini on a patient with Peyronie’s disease. Peyronie’s disease, also known as Induratio Penis Plastica (IPP), is characterized by thickening of the tunica albuginea—the membrane that covers the penile corpora cavernosa.

The tunica albuginea typically exhibits elasticity, allowing the penis to extend by approximately 30% during erection. However, in IPP, it becomes thickened, inelastic, and sometimes calcified. Initially, the condition presents as small nodules that may expand in advanced stages, affecting a larger portion of the penis.

Most common in men aged 50 to 65, IPP can also appear earlier and is often associated with diabetes, hypertension, and connective tissue disorders such as Dupuytren’s contracture. The disease manifests as plaques within the tunica albuginea, causing pain, penile curvature, and functional impairments.

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