Objectives: Peyronie's disease (PD), as firstly descibed by Francois de la Peyronie who reported a case in 1743, is characterized by penile induration, nodule, or plaque resulting in erectile deformity. Although PD is frequently linked to erectile dysfunction (ED), it is not clear how often it is or which comes first.
Men with PD may not need treatment if their erectile deformity does not interfere with penetration and erections are still adequate for intromission. On the other hand, men with PD who are unable to have penetrative sex need surgical therapy. Erections should be straight and reliably firm so
Introduction: If the erectile rigidity is good or the response to a PDE5i is acceptable, penile plication surgery is likely to straighten the erection without further diminution in erectile rigidity.
If the man's erections are not reliable, inflatable penile prosthesis implantation should be considered. During the implant procedure device inflation straightens the penis, and if the degree of straightening is still not satisfactory, it should further enhanced by modeling (bending the penis while the cylinders are inflated).
Finally, for more severe bending or complex deformity a combined corporoplasty is us
Conclusion: Surgical management of Peyronie's Disease is often the real solution for men with penile deformity unable to have successfull and satisfactory sexual activity.
Disclosures
Did you receive any funding to support your research for this TOPIC?
No
Were you provided with any honoraria, payment or other compensation for your work on this study?
No
Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No
Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No
This work was not supported by any direct or non direct funding. It is under the author's own responsability