Surgical management of peyronie’s disease with co-existent erectile dysfunction
Entity
UAM. Departamento de CirugíaPublisher
Elsevier Inc. on behalf of the International Society for Sexual MedicineDate
2019Citation
10.1016/j.esxm.2019.08.009
Sexual Medicine 7 (2019): 361-379
ISSN
2050-1161DOI
10.1016/j.esxm.2019.08.009Editor's Version
https://doi.org/10.1016/j.esxm.2019.08.009Subjects
Peyronie’s Disease; Erectile Dysfunction; Penile Prosthesis; Grafts; Penile Induration; MedicinaRights
© The Author(s). 2019Esta obra está bajo una licencia de Creative Commons Reconocimiento-NoComercial-SinObraDerivada 4.0 Internacional.
Abstract
Introduction: Surgical intervention in Peyronie’s disease (PD) should ideally be delayed until the resolution of
acute inflammatory phase.
Aim: The objective of this review was to highlight the results of penile prosthesis to correct refractory erectile
dysfunction (ED) in patients with PD, and the secondary procedures that may be required to correct the penile
curvature.
Methods: A systematic search on PubMed online database using Preferred Reporting Items for Systematic
Reviews and Meta-Analyses recommendations was done using the MeSH terms “Peyronie’s disease” and “erectile
dysfunction.”
Main Outcome Measure: Success and satisfaction rates of various procedures.
Results: The search yielded 324 language-specific (English and Spanish language) articles and 58 articles were
retained for final review. The following variables were assessed in different studies: number of patients, types of
secondary procedure to correct the curvature, satisfaction rates, and follow-up period.
Conclusion: The aim of the surgery in PD should be to achieve a functionally straight penis (<20 degree
curvature) with good erection. Patients with refractory ED in PD are candidates for penile prosthesis. Secondary
procedures, like manual modeling, plication, plaque incision, or excision grafting, may be required depending on
the degree of penile curvature and penile length. In quest for the best graft, TachoSil graft seems to have gained
popularity in Europe. Krishnappa P, Fernandez-Pascual E, Carballido J, et al. Surgical Management of
Peyronie’s Disease With Co-Existent Erectile Dysfunction. Sex Med 2019;7:361e370.
Files in this item
Google Scholar:Krishnappa, Pramod
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Fernández-Pascual, Esaú
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Carballido Rodríguez, Joaquín
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Moncada, Ignacio
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Lledo-García, Enrique
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Martínez-Salamanca, Juan Ignacio
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