William O. Brant, MD, FACS, FECSM, presented “Peyronie’s Disease Surgery: Considerations, Tips, and Pitfalls” during the 44th Annual Ralph E. Hopkins Urology Seminar on February 8, 2025, in Jackson Hole, Wyoming.
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How to cite: Brant, William O. “Peyronie’s Disease Surgery: Considerations, Tips, and Pitfalls.” February 8, 2025. Accessed Mar 2025. https://grandroundsinurology.com/peyronies-disease-surgery-considerations-tips-and-pitfalls/
Peyronie’s Disease Surgery: Considerations, Tips, and Pitfalls – Summary
William O. Brant, MD, FACS, FECSM, explores surgical approaches for Peyronie’s disease. In this 19-minute presentation, Dr. Brant focuses on penile curvature correction.
Dr. Brant categorizes procedures into shortening, lengthening, and prosthesis-based techniques, emphasizing that patient perception of penile length often differs from objective measurements. He highlights the importance of patient counseling, as plication may result in a perceived loss of length, whereas grafting procedures can compromise erectile function.
Dr. Brant discusses graft materials such as saphenous vein and buccal mucosa, noting that each has benefits and drawbacks. He also discusses incision choices, which are determined by the deformity. He reviews evidence that traction therapy enhances outcomes for both plication and grafting procedures, leading to better length preservation and satisfaction.
Dr. Brant asserts that surgical choices should be tailored to individual patient anatomy, erectile function, and willingness to commit to postoperative rehabilitation.
About The 44th Annual Ralph E. Hopkins Urology Seminar:
The Ralph E. Hopkins Urology Seminar is a multi-day meeting focused on training urologists in the latest in assessing, diagnosing, and treating urologic conditions in the clinical setting. Updates are provided on urologic cancers, stone disease, urologic reconstruction, female urology, infertility, sexual function, emerging surgical techniques, and general urology. The 44th iteration of the meeting took place from February 5th to February 8th, 2025, in Jackson Hole, Wyoming.
For further educational activities from this conference, visit our collection page.
ABOUT THE AUTHOR
William O. Brant, MD, FACS, FECSM, is a urologist at the Veterans Affairs Medical Center in Salt Lake City, Utah. He earned his medical degree from the University of California, San Diego. He completed his residencies in Surgery and Urology at the University of Colorado Health Sciences Center and then pursued a fellowship in Sexual Medicine and Surgery at the University of California, San Francisco (UCSF).
After completing his fellowship, Dr. Brant was in a private practice in Vail, Colorado, and had a teaching appointment with the University of Colorado prior to moving to the University of Utah, where he served as an Associate Professor of Surgery/Urology until 2017. His practice is dedicated to Men’s Health, with a particular focus on sexual and erectile medicine, penile reconstructive surgery, and prosthetic surgery. He has been very involved in education, training, and research related to prosthetic surgery, particularly as it relates to prostate cancer survivors, and he performs over 100 prosthetic surgeries annually.
Dr. Brant is a consultant and reviewer for several medical journals, including the Journal of Urology and the Journal of Sexual Medicine. He is a member of multiple medical organizations, including the American Urological Association, the Sexual Medicine Society, the Trauma and Urologic Reconstruction Network of Surgeons (TURNS), and the Society of Urologic Prosthetic Surgeons. He has authored over 50 scholarly works, including chapters in 6 urology textbooks. He is also a Fellow of the American College of Surgeons and the European Committee on Sexual Medicine.
