Peyronie's disease is
due to a plaque (scar) of the tunica albuginea lining the erectile chambers
resulting in a tethering and curving of the erect penis, sometimes known
as the "bent spike syndrome". Surgical options include:
- Incision or excision
of the plaque with placement of a graft.
- Plication or removal
of several wedges of the tunica albuginea on the opposite side. This
will result in penile shortening. Therefore, some men desire simultaneous
penile lengthening to compensate for the shortening
produced by the surgery.
- If erections are
normal but only a slight curve is present, plication or removal of a
wedge of the tunica albuginea may be performed to straighten the penis
at the same time as penile widening. Penile
lengthening to compensate for expected shortening can be performed
at the same time.
- If erectile impairment
is present, a penile prosthesis can be inserted at the time that the
plaque is incised or excised. Sometimes, penile molding or placement
of the penile prosthesis alone corrects the curving
of the penis.
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