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Strategies and current practices for penile lengthening in severe Peyronie’s disease cases: a systematic review

International Journal of Impotence Research volume 32, pages 52–63 (2020)Cite this article

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Abstract

Several strategies to optimize penile length in the presence of Peyronie’s Disease (PD) have been described so far. In case of severe curvature and preserved erectile function, plaque incision/excision (PIG/PEG) are advisable in order to maximize penile length, despite the risk of postoperative erectile dysfunction (ED), recurrent curvature, or penile shortening. For men with PD deformities associated to a certain degree of ED several lengthening techniques associated to penile prosthesis (PPI) implantation can be considered. Because of the potential postoperative complications, the indication must be balanced between patient’s risk factors and surgeon’s experience. Furthermore, adjuvant surgeries, such as prepubic V-Y plasty, suspensory ligament release, suprapubic lipectomy, and ventral phalloplasty, can be performed simultaneously or in a staged fashion to maximize the outcomes. Restoration a decent penile length in the case of a severe PD represents a real challenge for reconstructive surgeons. We present a systematic review of the literature on the current practices for penile lengthening in severe PD, providing the reader with a practical overview on the existing surgical strategies and their surgical and functional outcomes.

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Authors and Affiliations

  1. Urology Clinic, A.O.U. Città della Salute e della Scienza di Torino, University of Turin, Turin, Italy

    Marco Falcone & Mirko Preto

  2. Urology Clinic, A.O.U. Careggi, University of Florence, Florence, Italy

    Andrea Cocci

  3. University College of London Hospital, Andrology Unit, London, UK

    Giulio Garaffa

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  1. Marco Falcone
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Correspondence to Marco Falcone.

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Falcone, M., Preto, M., Cocci, A. et al. Strategies and current practices for penile lengthening in severe Peyronie’s disease cases: a systematic review. Int J Impot Res 32, 52–63 (2020). https://doi.org/10.1038/s41443-019-0189-9

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