Surgical Treatment of Peyronie's Disease: A Critical Analysis

Ates Kadioglu, Tolga Akman, Oner Sanli, Levent Gurkan, Murat Cakan, Murat Celtik

Research output: Contribution to journalReview article

87 Scopus citations

Abstract

Objective: The present paper reviews surgical treatment alternatives for patients with Peyronie's disease using knowledge obtained from the contemporary literature. Methods: : All aspects of surgical treatment for Peyronie's disease were examined on the basis of MEDLINE database researches. Results: Surgical treatment should be delayed until the acute inflammatory phase has resolved and should be considered in patients with deformity that impairs sexual function. Currently, surgical treatment alternatives are reconstructive surgery by either lengthening the concave side (incision and grafting) or shortening the convex side (Nesbit procedure or plication) of the penis, and implantation of penile prosthesis with or without incision of the plaque. PD patients with good erectile capacity are candidates for reconstructive surgery. Meanwhile, implantation of penile prosthesis with or without remodeling should be considered for patients without adequate erectile capacity. Conclusions: The aim of the surgical treatment in Peyronie's disease is to correct the deformity while preserving or improving erectile capacity of the penis. Appropriate treatment options should be individualized according to the patients' expectations and erectile capacity.

Original languageEnglish (US)
Pages (from-to)235-248
Number of pages14
JournalEuropean urology
Volume50
Issue number2
DOIs
StatePublished - Aug 1 2006

Keywords

  • Graft
  • Peyronie's disease surgery
  • Prosthesis

ASJC Scopus subject areas

  • Urology

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    Kadioglu, A., Akman, T., Sanli, O., Gurkan, L., Cakan, M., & Celtik, M. (2006). Surgical Treatment of Peyronie's Disease: A Critical Analysis. European urology, 50(2), 235-248. https://doi.org/10.1016/j.eururo.2006.04.030