Penile prosthesis implantation in the treatment of Peyronie’s disease

Abstract

Purpose: This study was undertaken to evaluate the results and complications of penile prosthesis implantation in patients with erectile dysfunction caused by Peyronie’s disease.

Materials and Methods: Men undergoing surgical intervention for erectile dysfunction caused by Peyronie’s disease at the University of North Carolina School of Medicine were reviewed. Patients included 30 men aged 29–64 (mean=49.6) with a duration of Peyronie’s disease from 12–72 months (mean=31.4 months). All men had palpable Peyronie’s plaque, significant penile curvature and plaque formation. All patients underwent implantation of AMS 700CX penile prostheses from 1993 to 1997.

Results: Penile straightening was carried out using modeling in 28 (93%) while plaque incision was necessary in 2 men (7%). All patients had a resultant straight penis with functional penile implant. There were no patients who suffered penile prosthesis infection and no mechanical malfunctions were observed during the follow-up.

Conclusions: Penile prosthesis implantation with modeling is a safe, simple, effective technique for straightening penile curvature in patients undergoing implantation of penile prosthesis for Peyronie’s disease. Penile prosthesis implantation is a safe, effective, low morbidity method for restoring potency in men with male erectile dysfunction and Peyronie’s disease.