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BJU Int. 2011 Oct;108(7):1152-6. doi: 10.1111/j.1464-410X.2010.10023.x. Epub 2011 Feb 11.

The management of residual curvature after penile prosthesis implantation in men with Peyronie's disease.

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  • 1St Peter's Hospitals and The Institute of Urology, London, UK.

Abstract

OBJECTIVE:

• To report our experience in the management of residual curvature after implantation of a penile prosthesis in men with Peyronie's disease (PD).

PATIENTS AND METHODS:

• From January 1985 to June 2009, 62 (29%) of the 209 patients with PD that have undergone the insertion of a penile prosthesis have required an additional straightening procedure to correct the residual curvature after the insertion of the cylinders of the implant. • The types of additional manoeuvres, their success in correcting the residual curvature and eventual complications have been reported.

RESULTS:

• Among the additional straightening procedures, modelling was more successful in achieving straightening when performed on an inflatable device (84%) than on a malleable implant (54%). • If the curvature persisted after modelling or if the curvature was ventral, straightening was achieved with tunical plications or incision with or without grafting.

CONCLUSION:

• Although it is common for the simple implantation of cylinders alone to straighten the penis, some patients will present a residual curvature that must be successfully corrected with additional straightening procedures.

© 2011 THE AUTHORS. BJU INTERNATIONAL © 2011 BJU INTERNATIONAL.

PMID:
21314814
[PubMed - indexed for MEDLINE]
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