Modified Sliding Technique (MoST) for Penile Lengthening with Insertion of Inflatable Penile Prosthesis

Indication Penile curvature caused by Peyronie’s disease (PD) and the subsequent difficulty with penetration and shortened stretched penile length are extremely distressing to men. Although plication may work for low magnitude simple curvature, plaque manipulation and grafting has been the preferred method for correcting large or complex deformities. Penile plication leads to “long side” penile shortening, whereas grafting may lead to erectile dysfunction. We describe the Modified Sliding Technique (MoST) for correcting PD combined with penile lengthening with neurovascular bundle (NVB) and urethral mobilization followed by inflatable penile implant placement, using a single sub-coronal incision.