Addressing residual penile deformity in the Peyronie’s disease patient during penile implant surgery

Bonillo, Miguel Ángel; Garaffa, Giulio; Ralph, David

doi:10.1007/s11930-007-0021-2

Cited by 6 publications

(10 citation statements)

References 32 publications

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“…After the implantation of the cylinders, it is important to assess the presence of any residual curvature. Frequently, the simple insertion of the cylinder in the corpora after dilatation results in a complete straightening of the penis; probably this is consequence of the dissection of the tethering fibrotic tissue with scissors and cavernotomes during the dilatation of the corpora [11].…”

Section: Discussionmentioning

confidence: 99%

The management of residual curvature after penile prosthesis implantation in men with Peyronie’s disease

et al. 2011

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Study Type – Therapy (case series) Level of Evidence 4 OBJECTIVE • To report our experience in the management of residual curvature after implantation of a penile prosthesis in men with Peyronie’s disease (PD). PATIENTS AND METHODS • From January 1985 to June 2009, 62 (29%) of the 209 patients with PD that have undergone the insertion of a penile prosthesis have required an additional straightening procedure to correct the residual curvature after the insertion of the cylinders of the implant. • The types of additional manoeuvres, their success in correcting the residual curvature and eventual complications have been reported. RESULTS • Among the additional straightening procedures, modelling was more successful in achieving straightening when performed on an inflatable device (84%) than on a malleable implant (54%). • If the curvature persisted after modelling or if the curvature was ventral, straightening was achieved with tunical plications or incision with or without grafting. CONCLUSION • Although it is common for the simple implantation of cylinders alone to straighten the penis, some patients will present a residual curvature that must be successfully corrected with additional straightening procedures.

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Section: Discussionmentioning

confidence: 99%

The management of residual curvature after penile prosthesis implantation in men with Peyronie’s disease

et al. 2011

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“…To this regard, the surgical algorithm in PD surgery is based on an objective assessment by the surgeon of the degree of penile deformity ( 1 , 2 ), but patient self-perception of the deformity can be different. It is in fact well documented that many patients complaining of PD tend to overestimate the degree of their curvature ( 6 ). Furthermore, the surgeon is only able to assess the deformity once PD is stable; on the contrary, the surgeon cannot actually appreciate the overall shortening that eventually has occurred.…”

Section: Introductionmentioning

confidence: 99%

Objective measurements of the penile angulation are significantly different than self-estimated magnitude among patients with penile curvature

et al. 2018

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Introduction:The study was aimed to assess the presence of actual differences between the objective and the perceived magnitude of a curvature between patients affected by Peyronie's disease (PD) and congenital penile curvature (CPC).Materials and Methods:Wee analysed a cohort of 88 consecutive patients seeking medi- cal help for either CPC or PD. All patients were invited to provide a self-made drawing of their penis in erection in order to obtain self-provided description of the deformity. An objective measurement of the deformity was also performed drawing two intersecting lines through the center of the distal and proximal straight section of the penile shaft.Results:Our findings showed significant differences between patient self-estimation and the objective measurements of the penile angulation performed by trained experts, with only 32% of patients correctly assessing their own curvature. Overall, patients tended to overestimate (56%) their degree of curvature, but the results are different in patients with PD than those with CPC. In the 60 men (68%) who did not accurately assess their curvature, PD patients generally overestimated their curvature versus CPC patients (67% vs 16%). On the contrary CPC patients underestimated their curvature compared to PD (42% vs. 4%).Conclusion:In order to improve patients' satisfaction rates, the surgeon needs to take into consideration the patient's perception of the deformity when planning the type of surgical correction.

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“…Penile prosthesis implantation is recommended in those men who have poor‐quality erections and/or do not respond adequately to pharmacological therapy for their ED [5,63–65].…”

Section: Surgical Approachesmentioning

confidence: 99%

“…Penile prosthesis implantation is recommended in those men who have poor-quality erections and/or do not respond adequately to pharmacological therapy for their ED [5,[63][64][65]. Both malleable and inflatable penile prosthesis have been widely used in patients with PD.…”

Section: Penile Prosthesis Implantation With Straightening Maneuversmentioning

confidence: 99%

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Long‐Term Results of Reconstructive Surgery for Peyronie's Disease

Garaffa

Kuehhas

Luca

et al. 2015

Sexual Medicine Reviews

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Addressing residual penile deformity in the Peyronie’s disease patient during penile implant surgery

Cited by 6 publications

References 32 publications

The management of residual curvature after penile prosthesis implantation in men with Peyronie’s disease

The management of residual curvature after penile prosthesis implantation in men with Peyronie’s disease

Objective measurements of the penile angulation are significantly different than self-estimated magnitude among patients with penile curvature

Long‐Term Results of Reconstructive Surgery for Peyronie's Disease

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