title: Plexiform neurofibroma of the penis associated with erectile dysfunction due to arterial steeling.
abstract: BACKGROUND
  Solitary involvement of the genitourinary tract by Von Recklinghousen disease (VRD) is extremely rare.
  
  
  OBJECTIVE
  This report documents the management of a case of a plexiform neurofibroma on the penile shaft associated with erectile dysfunction. The literature surrounding VRD and its effects on the genital area was also investigated. Methods. After a complete preoperative investigation of the nature of the mass and of the erectile dysfunction, the neurofibroma was completely excised with preservation of the neurovascular bundle.
  
  
  RESULTS
  At 6-months postoperative follow-up, there was no sign of tumor recurrence and the glans sensation was maintained. The erectile dysfunction persisted postoperatively and failed to respond to medical treatment.
  
  
  CONCLUSIONS
  A complete excision of penile neurofibromas is mandatory to prevent recurrence or malignant degeneration and can be safely performed preserving the neurovascular bundle.
authors.affiliation: St Peter's Department of Andrology, University College London Hospitals, London, UK. giuliogaraffa@libero.it
authors.forename: Giulio
authors.initials: G
authors.lastname: Garaffa
authors.forename: Carlo
authors.initials: C
authors.lastname: Bettocchi
authors.forename: Nim
authors.initials: N
authors.lastname: Christopher
authors.forename: David
authors.initials: D
authors.lastname: Ralph
mesh_terms: D000328:Adult; D019080:Cafe-au-Lait Spots / Q000209:etiology; D007172:Erectile Dysfunction / Q000209:etiology* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009456:Neurofibromatosis 1 / Q000175:diagnosis / Q000601:surgery*; D010412:Penile Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D010413:Penis / Q000294:innervation*; D016896:Treatment Outcome