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Current Sexual Health Reports

, Volume 8, Issue 3, pp 186–192 | Cite as

Advances in the Surgical Treatment of Peyronie’s Disease

  • Georgios HatzichristodoulouEmail author
Male Sexual Dysfunction and Disorders (AW Pastuszak and TS Köhler, Section Editors)
  • 57 Downloads
Part of the following topical collections:
  1. Topical Collection on Male Sexual Dysfunction and Disorders

Abstract

Surgical treatment is the gold standard for correction of penile deviation in patients with Peyronie’s disease. Generally, plication techniques are applied when deviation is less than 60°, the patient has decreased erectile function, and penile length is satisfactory. Grafting techniques are indicated when deviation exceeds 60°, there is a short penis or an hourglass deformity, and the patient has good erectile capacity. In patients with erectile dysfunction refractory to medical treatment, penile prosthesis implantation with simultaneous correction of deviation is the optimal approach. This article summarizes some of the novel advances for each of these procedures, which have been reported in recent years. Surgical technique and outcomes of these techniques are described, and limitations set. Adequate preoperative counseling, including all options available today, is crucial before planning surgical treatment in Peyronie’s disease. Surgeon experience and careful patient selection for each procedure will remain the most determining factors for success.

Keywords

Grafting techniques Penile prosthesis implantation Peyronie’s disease Plication Surgical therapy 

Notes

Compliance with Ethical Standards

Conflict of Interest

The author declares that he has no conflict of interest.

Human and Animal Rights and Informed Consent

All reported studies/experiments with human or animal subjects performed by the author have been previously published and complied with all applicable ethical standards (including the Helsinki declaration and its amendments, institutional/ national research committee standards, and international/national/institutional guidelines).

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Copyright information

© Springer Science+Business Media, LLC 2016

Authors and Affiliations

  1. 1.Department of UrologyTechnical University of Munich, University Hospital Klinikum rechts der IsarMunichGermany

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