Introduction: When penile curvature due to Peyronie's Disease (PD) or congenital causes interferes with sexual function, correction of the curvature is indicated. Here we describe a minimally invasive, effective and reproducible technique for surgical correction of penile curvature.

Methods/Materials: We identified all patients who underwent penile plication with a single surgeon (BF) from Nov 2016 - Dec 2018. Patients who underwent concomitant placement of a penile prosthesis were not included. All patients underwent penile plication of the tunica albuginea with absorbable suture. A set of two buried vertical mattress sutures were placed at the point of maximal curvature. Additional sutures were placed as needed. The technique is described in detail in the accompanying video. Chart review was performed to identify outcomes and factors associated with successful curvature correction (<5°).

Results: 33 patients were included. Median age was 57 (IQR 51-59). Etiology of curvature was Peyronie's disease (n=31, 94%) and congenital (n=2, 6%). Median curvature was 47.5° (IQR 45°-60°). Direction of curvature was dorsal (n=17, 52%), ventral (n=3, 9%), left lateral (n=2, 6%), and right lateral (n=1, 3%). Curvature was multi-focal in 4 patients (12%), and multi-dimensional in 6 patients (18%). Most patients (n=25, 76%) were circumcised. In 21 patients (64%), a 2-3cm incision was made opposite to the point of maximal curvature. Complete curvature correction was achieved in 32 cases (97%). Median number of 8-dot plication sutures was 3 (IQR 2-4).

Conclusions: Minimally invasive 8-dot penile plication is a simple and effective technique for correcting acquired or congenital penile curvature.