title: Surgical approaches for advanced Peyronie's disease patients.
abstract: Surgical therapy for Peyronie's disease (PD) is reserved for patients with severe penile deformity that fails to improve with medical treatment and impedes sexual intercourse. The surgical treatment of PD consists of either correction of the penile deformity or insertion of a penile prosthesis in patients with concomitant erectile dysfunction (ED). Plaque incision/excision combined with grafting procedures or plication techniques are suitable in Peyronie's patients having an adequate penile vascular supply. When patients with Peyronie's disease have both penile deformity and ED, penile prosthesis implantation with or without excision or incision of the tunica is the current standard of care.
authors.affiliation: Department of Urology, Tulane University Health Sciences Center, New Orleans, Louisiana 70112, USA. whellst@tulane.edu
authors.forename: W J G
authors.initials: WJ
authors.lastname: Hellstrom
authors.forename: M F
authors.initials: MF
authors.lastname: Usta
mesh_terms: D006801:Humans; D008297:Male; D010411:Penile Induration / Q000601:surgery*; D015917:Penile Prosthesis; D010413:Penis / Q000601:surgery*