Medline ® Abstracts for References 1,2
of 'Surgical management of Peyronie's disease'
Surgical treatment of Peyronie's disease: a critical analysis.
Kadioglu A, Akman T, Sanli O, Gurkan L, Cakan M, Celtik M
Eur Urol. 2006;50(2):235.
OBJECTIVE: The present paper reviews surgical treatment alternatives for patients with Peyronie's disease using knowledge obtained from the contemporary literature.
METHODS: : All aspects of surgical treatment for Peyronie's disease were examined on the basis of MEDLINE database researches.
RESULTS: Surgical treatment should be delayed until the acute inflammatory phase has resolved and should be considered in patients with deformity that impairs sexual function. Currently, surgical treatment alternatives are reconstructive surgery by either lengthening the concave side (incision and grafting) or shortening the convex side (Nesbit procedure or plication) of the penis, and implantation of penile prosthesis with or without incision of the plaque. PD patients with good erectile capacity are candidates for reconstructive surgery. Meanwhile, implantation of penile prosthesis with or without remodeling should be considered for patients without adequate erectile capacity.
CONCLUSIONS: The aim of the surgical treatment in Peyronie's disease is to correct the deformity while preserving or improving erectile capacity of the penis. Appropriate treatment options should be individualized according to the patients' expectations and erectile capacity.
Section of Andrology, Department of Urology, Istanbul Faculty of Medicine, Istanbul University, Turkey. email@example.com
Peyronie's disease: advancements in recent surgical techniques.
Dean RC, Lue TF
Curr Opin Urol. 2004;14(6):339.
PURPOSE OF REVIEW: The aim of this review is to discuss the recent advances in surgical techniques for the correction of Peyronie's disease. A review of the literature published in 2002 and 2003 regarding surgical treatment was performed in preparation for this article.
RECENT FINDINGS: The surgical treatment of Peyronie's disease remains a debated topic. Generally, surgical therapy for Peyronie's disease can be divided into three main categories: wedge resection/plication surgeries; plaque excision/incision with grafting procedures; and the placement of a penile prosthesis. New reports have investigated suture selection, graft acceptability, and new surgical approaches. These new surgical enhancements will give urologists a greater choice in the surgical management of Peyronie's disease. This will aid the ability of the urologist to tailor the therapy necessary for each individual patient.
SUMMARY: The correction of acquired penile deformity seen in Peyronie's disease patients can be a challenge for the practising urologist. Newer advancements in surgical techniques and materials will allow the urologist greater treatment options. The degree of curvature, the type of deformity, erectile dysfunction, and penile length are all characteristics that are assessed in choosing the best surgical intervention in Peyronie's disease. Surgical therapy can be quite beneficial for patients who suffer from penile deformity and can greatly improve their quality of life.
Department of Urology, University of California-San Francisco, San Francisco, CA, USA.