title: The management of residual curvature after penile prosthesis implantation in men with Peyronie's disease.
abstract: OBJECTIVE
  • To report our experience in the management of residual curvature after implantation of a penile prosthesis in men with Peyronie's disease (PD).
  
  
  METHODS
  • From January 1985 to June 2009, 62 (29%) of the 209 patients with PD that have undergone the insertion of a penile prosthesis have required an additional straightening procedure to correct the residual curvature after the insertion of the cylinders of the implant. • The types of additional manoeuvres, their success in correcting the residual curvature and eventual complications have been reported.
  
  
  RESULTS
  • Among the additional straightening procedures, modelling was more successful in achieving straightening when performed on an inflatable device (84%) than on a malleable implant (54%). • If the curvature persisted after modelling or if the curvature was ventral, straightening was achieved with tunical plications or incision with or without grafting.
  
  
  CONCLUSIONS
  • Although it is common for the simple implantation of cylinders alone to straighten the penis, some patients will present a residual curvature that must be successfully corrected with additional straightening procedures.
authors.affiliation: St Peter's Hospitals and The Institute of Urology, London, UK.
authors.forename: Giulio
authors.initials: G
authors.lastname: Garaffa
authors.forename: Andrea
authors.initials: A
authors.lastname: Minervini
authors.forename: Nim A
authors.initials: NA
authors.lastname: Christopher
authors.forename: Suks
authors.initials: S
authors.lastname: Minhas
authors.forename: David J
authors.initials: DJ
authors.lastname: Ralph
mesh_terms: D000328:Adult; D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D019935:Penile Implantation; D010411:Penile Induration / Q000601:surgery*; D015917:Penile Prosthesis; D010413:Penis / Q000002:abnormalities; D055815:Young Adult