Malleable penile implants without plaque surgery in the treatment of Peyronie’s disease

Abstract

The objective of this retrospective study is to evaluate the surgical outcome with malleable penile implants without plaque surgery in the treatment of impotence associated with Peyronie's disease. This study included 20 men with Peyronie's disease who underwent placement of a malleable penile prosthesis. The surgeries were performed in three day surgery units in Cairo and Jeddah. The implantation of the prosthesis straightened the penile shaft in all cases but a variable degree of deviation of the glans penis persisted in seven cases (35%), and led to dissatisfaction in 2 out of 16 patients followed for one year (12.5%). No operative or postoperative complications occurred and no reoperations were needed. We conclude that malleable penile implants are safe and effective in the treatment of Peyronie's disease associated with impotence.

A surgical algorithm for penile prosthesis placement in men with erectile failure and Peyronie’s disease

“…Recently, another report analyzed the nonin¯a-table experience by Ghanem and associates 15 who followed 20 patients for 1 y postoperatively, 16 (80%) of which returned for follow-up. Devices were implanted without further attempt at surgical straightening.…”

Horizontal plication after vertical tunical incisions for the correction of congenital penile curvature

“…11 The use of penile implants should be reserved for cases where Peyronie's disease is associated with persistent erectile dysfunction. 12 We conclude that horizontal plication after vertical tunical incisions is safe and effective in the treatment for congenital penile curvature. The procedure may be performed on a day case basis and it appears that the use of slowly absorbed sutures allows the tunica albuginea to heal suf®ciently to withstand the forces of erection without increasing the risk of recurrence and without the need to place permanent suture material in the corpora cavernosa.…”

Incisional corporoplasty for the correction of congenital penile curvature: a review of two suturing techniques

“…12 The use of penile implants should be reserved for cases where Peyronie's disease is associated with persistent erectile dysfunction. 13 In conclusion, horizontal plication after vertical tunical incisions is safe and effective in the treatment for congenital penile curvature. It was hoped that adding a single inverted proline suture in the middle of the suture line abolishes partial recurrences observed with our earlier cases of slowly absorbed sutures.…”