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Peyronie’s disease: surgical options

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...

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