Shaeer’s Peyronie’s Punch Technique

Do you have severe curvature of the penis (Peyronie’s disease) and severe erectile dysfunction? Shaeer’s Peyronie’s Punch Technique can help.

Professor Osama Shaeer introduces a ground-breaking technique for cases with severe Peyronie’s disease combined with erectile dysfunction (ED): Shaeer’s Peyronie’s Punch Technique. This surgical technique enables fully rigid and straight erection without the downsides of the former surgical approaches.

What is Peyronie’s disease?

Peyronie’s disease is basically a fibrotic change in the penis, where hard lumps form (Peyronie’s Plaques), pulling the penis back and to a side (penile curvature / penile deviation) and shortening it. It is often combined with erectile dysfunction that may not respond to medical treatment. In case of severe penile curvature and severe erectile dysfunction, surgery is warranted, restoring straightness, length and rigidity.

What are the former techniques for correcting Peyronie’s curvature and erectile dysfunction?

Surgery for severe Peyronie’s disease accompanied with penile curvature and loss of erection involved the following:

1. Restoring straightness of the penis either by modeling, by “plication surgery” for shortening the longer side, or by peyronie’s plaque surgery where the peyronie’s plaque is removed and replaced by a graft.
2. Implantation of a penile prosthesis, which is an internal device that the couple cannot see, that confers excellent un-matched rigidity to the penis.

Until the introduction of Shaeer’s Peyronie’s Punch technique, the common methods for restoring straightness had some limitations that are addressed by the Punch techique:

1. Modeling: Perfected by Professor Steven Wilson, Modeling is excellent, effective and minimally invasive technique, favored by Professor Shaeer. However, it is indicated for milder grades of curvature or for residual curvature following correction by other methods. It involves manual fracture of Peyronie’s plaques over the inflated penile implant, by bending the penis counter to the penile curvature.
2. Plication / Shortening Techniques: Still a valid option for milder cases of curvature with an adequately long penis. This technique involves shortening the longer side of the curved penis so as to match the shorter side, ending in a straight penis, though shorter. Drawback: Shartening the penis.
3. Peyronie’s Plaque surgery: This involves removing the Peyronie’s plaque all-together, and replacing it by a graft, then implantation of a penile prosthesis. This requires dissecting the dorsal nerves of the penis off of the plaque, or dissecting the urethra away, depending on the site of the Peyronie’s plaque. This may mean decreases sensitivity of the penis or injury to the urethra. It requires much longer operative time, exposing the patient to the risk of penile implant infection. Then, the replacement graft also increases the risk for infection.

How Does Shaeer’s Peyronie’s Punch Technique Work?

The penis has two cylinders for erection; the corpora cavernosa. Peyronie’s plaques are thickening of the covering of those cylinders (the tunica albuginea). Right next to the cylinders are the nerves of the penis and the urethra. Former Peyronie’s plaque surgery techniques involved dissecting the nerves and/or urethra in order to expose the Peyronie’s plaques and remove them, from outside. On the inside, a penile implant will be inserted.

So why not remove the plaques from the inside to avoid nerve injury or urethral injury? This is what Shaeer’s Peyronie’s Punch Technique is all about.

In Shaeer’s Peyronie’s Punch Technique, a punch forceps is inserted into the erection cylinders (corpora cavernosa), to punch (eat away) the Peyronie’s plaques, without the need for dissecting the nerves or urethra. This takes around 5 minutes, compared to around 60 minutes for conventional Peyronie’s plaque surgery techniques, hence a much lower infection rate. The forceps can reach any part of the penis with ease, hence addressing deep and difficult Peyronie’s plaques. A penile prosthesis is then implanted for rigidity.

We therefore recommend that for cases with severe Peyronie’s disease and severe erectile dysfunction, and upon implantation of a penile prosthesis, penile curvature can be addressed by one of the following methods:

1. For mild cases: Steven Wilson’s Modeling Technique
2. For Moderate to severe cases: Shaeer’s Peyronie’s Punch Technique.

After removing the peyronie’s plaques, Implantation of a penile prosthesis proceeds in the same surgical session. A penile implant is a prosthetic device that is implanted inside the penis. It is totally hidden, no external parts. The penis will then have full rigidity whenever required. A gentleman can have a coital relationship anytime, any number of times and for any length of time. The penis will look and feel totally natural.