Format

Send to

Choose Destination
Asian J Androl. 2019 Aug 16. doi: 10.4103/aja.aja_81_19. [Epub ahead of print]

Modern treatment strategies for penile prosthetics in Peyronie's disease: a contemporary clinical review.

Author information

1
Division of Urology, Rush University Medical Center, Chicago, IL 60612, USA.

Abstract

Peyronie's disease is a common condition resulting in penile deformity, psychological bother, and sexual dysfunction. Erectile dysfunction is one common comorbid condition seen in men with Peyronie's disease, and its presence significantly impacts treatment considerations. In a man with Peyronie's disease and significant erectile dysfunction who desires the most reliable treatment, penile prosthesis placement should be strongly considered. In some instances, such as those patients with relatively mild curvature, prosthesis placement alone may result in adequate straightening. However, many patients will require additional straightening maneuvers such as manual modeling, penile plication, and tunica albuginea incision with or without grafting. For patients with severe penile shortening, penile length restoration techniques may also be considered. Herein, we provide a comprehensive clinical review of penile prosthesis placement in men with Peyronie's disease. Specifically, we discuss preoperative indications, intraoperative considerations, adjunctive straightening maneuvers, and postoperative outcomes.

KEYWORDS:

Peyronie's; collagenase; grafting; penile length; penile prosthesis

PMID:
31424027
DOI:
10.4103/aja.aja_81_19
Free full text

Supplemental Content

Full text links

Icon for Medknow Publications and Media Pvt Ltd
Loading ...
Support Center