Surgery for Peyronie’s disease (PD) should only be offered to patients with stable disease and evident functional impairment. In PD patients with concomitant erectile dysfunction (ED) unresponsive to medical treatment, penile prosthesis implantation with or without additional straightening procedures is recommended. In other cases, factors such as penile length, erection rigidity, degree of curvature, the presence of complex deformities, and patient choice must be taken into account in order to decide on a tunical shortening or lengthening technique.
The current decision-making tree for surgical approaches in PD (see Figure) was presented by Dr Juan Ignacio Martínez-Salamanca (University Hospital Puerta de Hierro Majadahonda, Madrid, Spain) [1,2]. Surgery indications are stable disease for at least 6 months, compromised ability to have coitus, extensive plaque calcification which may or may not respond to collagenase, failed conservative treatment, and a s...
please login to read the entire article:
You need to register to read the entire article, please do so now.
« LUTS in the neuro-urologic patient Next Article
Infertility and testis cancer risk: causal or association? »
Table of Contents: EAU 2020
Surgical Techniques and Safety
Prostate Cancer & Imaging
BPH & LUTS
Testis Cancer & Andrology
Necessary cookies are absolutely essential for the website to function properly. This category only includes cookies that ensures basic functionalities and security features of the website. These cookies do not store any personal information.
Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. It is mandatory to procure user consent prior to running these cookies on your website.