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Also known as
Shaeer's Punch Technique, transcorporeal excavation of Peyronie's plaques, Peyronie's plaque excision
Definition
Shaeer’s punch technique is a minimally invasive procedure for transcorporeal excavation of Peyronie’s plaques before penile prosthesis implantation. After corporotomy and dilatation, Peyronie’s plaques are punched out from within the corpora cavernosa using punch forceps, and then a penile prosthesis is implanted. This technique aims to debulk Peyronie’s plaques while minimizing risks associated with traditional methods like neurovascular bundle or urethral mobilization, which can lead to penile hyposensitivity or urethral injury. It is also less time-consuming, potentially decreasing infection risk.¹
Clinical Context
Shaeer’s punch technique is clinically used in cases of severe Peyronie’s disease requiring penile prosthesis implantation. It is a minimally invasive approach for transcorporeal debulking of Peyronie’s plaques. Patient selection criteria involve individuals undergoing penile prosthesis implantation who also present with Peyronie’s plaques. The surgical procedure involves corporotomy and dilatation, followed by the use of punch forceps to excise the plaques from within the corpora cavernosa, and subsequent implantation of a penile prosthesis. Expected outcomes include a straight erect penis, preserved penile sensitivity, and a reduced risk of complications such as tunical perforations, urethral injuries, or extrusions, compared to traditional excision-grafting methods. The average additional operative time for the punch technique is significantly shorter, ranging from 5 to 10 minutes.¹