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.
Declaraciones
¿Ha recibido algún tipo de financiamiento para realizar su investigación sobre esta temática?
No
¿Ha recibido algún pago, honorario u otra compensación por su trabajo acerca de esta investigación?
No
¿Tiene vínculos financieros con alguna entidad que podría llegar a competir estrechamente con los medicamentos, materiales o instrumentos tratados en su investigación?
No
¿Posee o ha solicitado una patente relacionada a los materiales, productos o instrumentos utilizados en su investigación?
No
Este trabajo no cuenta con el apoyo de ningún financiamiento directo o indirecto. El autor asume plena responsabilidad sobre el mismo.