Surgical treatment of Peyronie's disease: a critical analysis.
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.
Kadioglu
Ates
A
Section of Andrology, Department of Urology, Istanbul Faculty of Medicine, Istanbul University, Turkey. itfabd@istanbul.edu.tr
Akman
Tolga
T
Sanli
Oner
O
Gurkan
Levent
L
Cakan
Murat
M
Celtik
Murat
M
D006801:Humans; D008297:Male; D018579:Patient Selection; D010411:Penile Induration / Q000601:surgery*; D015917:Penile Prosthesis; D019651:Plastic Surgery Procedures