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Rekonstruktive Möglichkeiten bei der Induratio penis plastica

Reconstructive possibilities for Peyronie’s disease

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Zusammenfassung

Die operative Therapie der Induratio penis plastica (IPP) umfasst ein mehrstufiges Vorgehen mit steigender Invasivität. Hierbei ist neben der genauen Kenntnis der zur Verfügung stehenden operativen Verfahren, die Indikationsstellung und Aufklärung der Patienten, wie auch sonst, von äußerster Wichtigkeit.

Die Unzufriedenheit vieler Patienten mit den postoperativen Ergebnissen resultiert v. a. aus falschen Erwartungen und positivistischen Darstellungen. Wenn es gelingt, dies zu vermeiden und die vorhandenen operativen Verfahren individuell richtig anzuwenden, sind auch diese „komplexen Patienten“ sehr erfolgreich zu therapieren.

Abstract

The surgical treatment of Peyronie’s disease involves a multistage procedure with increasing invasiveness. In addition to precise knowledge about the existing surgical treatment procedures, the indication and the informed consent process of the patient is extremely important. The dissatisfaction with the surgical results for many patients is due to false expectations and positivistic representations. If we can avoid this and make the right decisions during surgery, even these difficult-to-treat patients can be treated successfully.

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Correspondence to Herbert Sperling.

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H. Sperling gibt an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden vom Autor keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Sperling, H. Rekonstruktive Möglichkeiten bei der Induratio penis plastica. Urologe 59, 426–431 (2020). https://doi.org/10.1007/s00120-020-01154-4

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  • DOI: https://doi.org/10.1007/s00120-020-01154-4

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