Penile Implants in the Treatment of Peyronie’s Disease

Eigner, Edward B.; Kabalin, John N.; Kessler, Robert

doi:10.1016/s0022-5347(17)38249-6

Cited by 40 publications

(14 citation statements)

References 23 publications

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“…Eigner and colleagues 17 published their experience with 35 patients undergoing placement of either semirigid (26) or in¯atable (nine) units in 1991. Eighteen (51%) of patients had little or no erectile response preoperatively, with the remaining patients having severe curvature preventing satisfactory intercourse.…”

Section: Discussionmentioning

confidence: 99%

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

2000

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We developed an algorithm for surgical management and placement of penile prostheses in patients with erectile failure (ED) and Peyronie's disease (PD). We identi®ed 46 men ages 40 to 77 y with PD who could not attain an adequate erection with sexual stimulation and pharmacotherapy. All men were candidates for penile straightening and in¯atable prosthesis placement using the following algorithm. Manual molding was attempted initially, followed by tunica incision for insuf®cient straightening. For tunical defects greater than 2 cm, polytetra¯uoroethylene (PTFE) patch grafting was performed to prevent prosthesis cylinder herniation and recurrent deformity from cicatrix contraction. Mean preoperative penile curvature was 53 degrees (0 ± 90). Prosthesis implantation with manual molding, implant with plaque incision, and implant with plaque incision and PTFE grafting were successfully accomplished in 25 (54%), 12 (26%), and nine (20)% respectively. Mean follow-up was 39 months (range 1 ± 74). Full erectile capacity with a straight phallus was achieved in all patients. Complications included temporary (`8 months) decreased penile sensation in four (9%), mild (`2 cm) penile shortening in three (7%), delayed ejaculation in one (2%), and infection requiring explanation in one diabetic male (2%). All of the implanted prostheses provided satisfactory rigidity with no mechanical failures or recurrent curvature.We conclude that in¯atable penile prosthesis implantation is a safe and effective therapy with a high satisfaction rate in men with ED and PD. The developed algorithm helps de®ne prosthesis placement and straightening techniques to obtain optimal results with minimal complications.

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Section: Discussionmentioning

confidence: 99%

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

2000

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“…In the case of associated impotence, some authors have recommended simultaneous treatment of erectile dysfunction and curvature by implantation of penile prosthesis [24, 25, 26]. In these cases, the treatment of choice could be plication of the tunica albuginea associated with artificial erection by means of intracavernous injections or intraureteral applications.…”

Section: Discussionmentioning

confidence: 99%

Corporeal Plication for Surgical Correction of Penile Curvature

et al. 1998

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“…12 Mechanical malfunctions of penile implants also caused management problems particularly with earlier models of in¯atable prostheses. In their series of 35 patients, Eigner et al, 10 implanted 26 semirigid and 9 in¯atable devices. They reported 17 reoperations, 9 involving malfunction of an in¯atable prosthesis.…”

Section: Discussionmentioning

confidence: 99%

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

1998

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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.

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Penile Implants in the Treatment of Peyronie’s Disease

Cited by 40 publications

References 23 publications

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

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

Corporeal Plication for Surgical Correction of Penile Curvature

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

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