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Modern treatment strategies for penile prosthetics in Peyronie's disease: a contemporary clinical review


 Division of Urology, Rush University Medical Center, Chicago, IL 60612, USA

Correspondence Address:
Laurence A Levine,
Division of Urology, Rush University Medical Center, Chicago, IL 60612
USA
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/aja.aja_81_19

PMID: 31424027

Peyronie's disease is a common condition resulting in penile deformity, psychological bother, and sexual dysfunction. Erectile dysfunction is one common comorbid condition seen in men with Peyronie's disease, and its presence significantly impacts treatment considerations. In a man with Peyronie's disease and significant erectile dysfunction who desires the most reliable treatment, penile prosthesis placement should be strongly considered. In some instances, such as those patients with relatively mild curvature, prosthesis placement alone may result in adequate straightening. However, many patients will require additional straightening maneuvers such as manual modeling, penile plication, and tunica albuginea incision with or without grafting. For patients with severe penile shortening, penile length restoration techniques may also be considered. Herein, we provide a comprehensive clinical review of penile prosthesis placement in men with Peyronie's disease. Specifically, we discuss preoperative indications, intraoperative considerations, adjunctive straightening maneuvers, and postoperative outcomes.


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    -  Ziegelmann MJ
    -  Farrell M R
    -  Levine LA
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