Abstract
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.
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References
De la Peyronie F . Sur quelque obstacles pui s'opposent a l'ejaculation naturelle de la semence Mem Acad R Chir 1743 1: 425
Scardino PL, Scott WW . The use of tocopherols in the treatment of Peyronie's disease Ann NY Acad Sci 1949 52: 390–396
Zarafonetis C, Horrax T . Treatment of Peyronie's disease with potassium para-aminobenzoate (POTABA) J Urol 1959 81: 770
Akkus E et al. Is colchicine effective in Peyronie's disease? A pilot study Urology 1994 44: 291–295
Levine LA, Merrick PF, Lee RC . Intralesional verapamil injection for the treatment of Peyronie's disease J Urol 1994 151: 1522–1524
Gelbard MK et al. Collagenase vs placebo in the treatment of Peyronie's disease: a double blind study J Urol 1993 149: 56–58
Nesbit RH . Congenital curvature of the phallus: report of three cases with description of corrective operation J Urol 1965 93: 230–232
Devine CJ, Horton CE . Surgical treatment of Peyronie's disease with a dermal graft J Urol 1974 111: 44–49
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
Wilson SK, Delk JR . A new treatment for Peyronie's disease: modeling the penis over an inflatable prosthesis J Urol 1994 152: 1121–1123
Knoll LD, Furlow WL, Benson RC . Management of Peyronie's disease by implantation of inflatable penile prosthesis Urology 1990 36: 406–408
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
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
Mulcahy JJ, Rowland RG . Tunica wedge excision to correct penile curvature associated with the inflatable penile prosthesis J Urol 1987 138: 63–64
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
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Mulcahy, J., Wilson, S. Management of Peyronie's disease with penile prostheses. Int J Impot Res 14, 384–388 (2002). https://doi.org/10.1038/sj.ijir.3900865
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DOI: https://doi.org/10.1038/sj.ijir.3900865
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