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Modern Plication Strategies for Surgical Correction of Peyronie’s Disease

  • Alexander K. ChowEmail author
  • Laurence A. Levine
Chapter

Abstract

Peyronie’s disease (PD) is an acquired healing disorder of the penis resulting in development of scar tissue within the tunica albuginea which can manifest as bothersome penile curvature and deformity, penile pain, and potentially erectile dysfunction. Surgical correction remains the most reliable and durable treatment for patients with stable disease, which is defined as having penile curvature for at least one year from onset and at least six months of stable deformity (Jordan, Peyronie’s disease. In: Wein, Kavoussi, Novick et al. editors. Campbell-walsh urology. 9th ed. Philadelphia: Saunders Elsevier; p. 818–838, 2010; Ralph et al. J Sex Med 7:2359–74, 2010; Levine and Burnett, Sex Med 7:3775–83, 2010). Surgery should be offered to those patients who have failed conservative therapy and who are unable to engage in satisfactory penetrative sexual intercourse due to the penile deformity and/or erectile dysfunction. The currently accepted surgical treatments include tunica albuginea plication (TAP) for correction of curvature less than 70 degrees and tunica lengthening (plaque incision or partial excision and grafting) for correction of curvature greater than 70 degrees with or without severe indentation, and/or bothersome penile shortening. When drug-refractory erectile dysfunction is also present, the management option should be placement of a penile prosthesis with straightening maneuvers (Ralph et al., J Sex Med 7:2359–74, 2010; Levine and Burnett, Sex Med 7:3775–83, 2010; Kadioglu et al., Eur Urol 50:235–48, 2006; Hatzimouratidis et al., Eur Urol 62:543–52, 2012).

In this chapter, we will discuss the origin, the evolution and modern techniques of tunica albuginea plication for the treatment of Peyronie’s disease.

Keywords

Peyronie’s disease Tunica plication Penile straightening 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Rush University Medical CenterChicagoUSA

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