Skip to main content

Thank you for visiting You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Management of Peyronie's disease with penile prostheses


Peyronie's disease is a common malady affecting men mostly between the ages of 40 and 60. When penile curvature and erectile softening are present and the erectile dysfunction does not respond to Viagra a penile implant will strengthen and usually straighten the penis. If curvature persists after implant placement ‘modeling’ the erect penis will successfully achieve straightening in most patients. Plaque incision and grafting or a Nesbit procedure are rarely necessary to straighten the penis but will afford excellent results when employed. A thorough explanation of the pathogenesis of Peyronie's disease and effects of the disease and treatment on penile size will help avoid some of the disappointment seen when a shorter erection occurs.

This is a preview of subscription content, access via your institution

Access options

Rent or buy this article

Prices vary by article type



Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2


  1. De la Peyronie F . Sur quelque obstacles pui s'opposent a l'ejaculation naturelle de la semence Mem Acad R Chir 1743 1: 425

    Google Scholar 

  2. Scardino PL, Scott WW . The use of tocopherols in the treatment of Peyronie's disease Ann NY Acad Sci 1949 52: 390–396

    Article  Google Scholar 

  3. Zarafonetis C, Horrax T . Treatment of Peyronie's disease with potassium para-aminobenzoate (POTABA) J Urol 1959 81: 770

    Article  CAS  Google Scholar 

  4. Akkus E et al. Is colchicine effective in Peyronie's disease? A pilot study Urology 1994 44: 291–295

    Article  CAS  Google Scholar 

  5. Levine LA, Merrick PF, Lee RC . Intralesional verapamil injection for the treatment of Peyronie's disease J Urol 1994 151: 1522–1524

    Article  CAS  Google Scholar 

  6. Gelbard MK et al. Collagenase vs placebo in the treatment of Peyronie's disease: a double blind study J Urol 1993 149: 56–58

    Article  CAS  Google Scholar 

  7. Nesbit RH . Congenital curvature of the phallus: report of three cases with description of corrective operation J Urol 1965 93: 230–232

    Article  CAS  Google Scholar 

  8. Devine CJ, Horton CE . Surgical treatment of Peyronie's disease with a dermal graft J Urol 1974 111: 44–49

    Article  Google Scholar 

  9. Kowalczyk JJ, Mulcahy JJ . Penile curvatures and aneurysmal defects with the ultrex penile prosthesis corrected with insertion of the AMS 700 CX J Urol 1996 156: 398–401

    Article  CAS  Google Scholar 

  10. Wilson SK, Delk JR . A new treatment for Peyronie's disease: modeling the penis over an inflatable prosthesis J Urol 1994 152: 1121–1123

    Article  CAS  Google Scholar 

  11. Knoll LD, Furlow WL, Benson RC . Management of Peyronie's disease by implantation of inflatable penile prosthesis Urology 1990 36: 406–408

    Article  CAS  Google Scholar 

  12. Reddy S, Leungwattanakij S, Sikka SC, Hellstrom WJG . Extended follow-up on the use of cadaveric pericardium (Tutoplast) in the surgical management of Peyronie's disease J Urol 2001 165: Suppl Abst. 1055 p 256

    Google Scholar 

  13. Knoll LD . Use of porcine small intestinal submucosal graft in the surgical management of tunical deficiencies with penile prosthetic surgery J Urol 2001 165: Suppl Abst 1054 p 256

    Google Scholar 

  14. Mulcahy JJ, Rowland RG . Tunica wedge excision to correct penile curvature associated with the inflatable penile prosthesis J Urol 1987 138: 63–64

    Article  CAS  Google Scholar 

  15. Hakim LS et al. Guide to safe corporotomy incisions in the presence of underlying inflatable penile cylinders: results of in vitro and in vivo studies J Urol 1995 155: 366–368

    Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to J J Mulcahy.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Mulcahy, J., Wilson, S. Management of Peyronie's disease with penile prostheses. Int J Impot Res 14, 384–388 (2002).

Download citation

  • Published:

  • Issue Date:

  • DOI:


This article is cited by


Quick links