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Treatment of Peyronie’s Disease

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Male Infertility and Sexual Dysfunction

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Abstract

Peyronie’s disease is a nonmalignant idiopathic disorder named in honor of the noted French surgeon François Gigot de la Peyronie. The disease is characterized by the formation of an inelastic scar or plaque located within the tunica albuginea of the corpora cavernosa. Depending on the location of this fibrotic process, the plaque may result in dorsal, ventral, or lateral curvature of the penis secondary to shortening of the involved region of tunica albuginea.1 Circumferential plaques may result in narrowing or bottlenecking of the shaft and resultant decreased rigidity distal to the area of disease.2 Variable degrees of penile curvature, decreased penile rigidity, and a palpable plaque are the most common presenting clinical signs of Peyronie’s disease. Painful erections are commonly encountered early in this condition but generally resolve with time once the progression of the disease has been established. Many men complain of difficulty with intromission, which in itself can be an extremely psychologically damaging condition.3

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References

  1. Schlossberg SM, Devine CJ Jr. Treatment of Peyronie’s disease. In: Whitehead ED, Nagler HM eds. Impotence and Infertility. Philadelphia: J.B. Lippincott; 1994: 133–151.

    Google Scholar 

  2. Berger RE. Remodeling for Peyronie’s disease with implants. Contemp Urol 1995; 7:45–49.

    PubMed  CAS  Google Scholar 

  3. Roddy TM, Goldstein I, Devine CJ Jr. Peyronie’s disease. Part II. AUA Update. Series 1991; 10:10–15.

    Google Scholar 

  4. Viljoen IM, Goedhals L, Doman MJ. Peyronie’s disease—a perspective on the disease and the long term results of radiotherapy. S Afr Med J 1993; 83:19–20.

    PubMed  CAS  Google Scholar 

  5. Lopez JA, Jarrow JP. Duplex ultrasound findings in men with Peyronie’s disease. Mol Radio 1991; 12:199–202.

    CAS  Google Scholar 

  6. Montorsi F, Guizanni G, Bergamaschi F, et al. Vascular abnormalities in Peyronie’s disease: the role of color Doppler sonography. J Urol 1994; 151:373–375.

    PubMed  CAS  Google Scholar 

  7. Bailey MJ, Yande S, Walmsley B, et al. Surgery for Peyronie’s disease. Br J Urol 1985; 57:746–749.

    Article  PubMed  CAS  Google Scholar 

  8. Mufti GR, Aitchison M, Bramwell SP, et al. Corporeal plication for surgical correction of Peyronie’s disease. J Urol 1990; 144:281–283.

    PubMed  CAS  Google Scholar 

  9. Nesbit RM. Congenital curvature of the phallus: report of three cases with description of corrective operation. J Urol 1965; 93:230–232.

    PubMed  CAS  Google Scholar 

  10. Pryor JP, Fitzpatrick JM. A new approach to the correction of the penile deformity in Peyronie’s disease. J Urol 1979; 122:622–623.

    PubMed  CAS  Google Scholar 

  11. Erpenbach K, Rothe H, Derschum W. The penile plication procedure: an alternative method for straightening penile deviation. J Urol 1991; 146:1276–1278.

    PubMed  CAS  Google Scholar 

  12. Sassine AM, Wespes E, Schulman CC. Modified corporoplasty for penile curvature: 10 years’ experience. Urology 1994; 44:419–421.

    Article  PubMed  CAS  Google Scholar 

  13. Essed E, Schroeder FH. New surgical treatment for Peyronie’s disease. Urology 1985; 25:582–587.

    Article  PubMed  CAS  Google Scholar 

  14. Nooter RI, Bosch JLHR, Schröder FH. Peyronie’s disease and congenital penile curvature: long-term results of operative treatment with the plication procedure. Br J Urol 1994; 74:497–500.

    Article  PubMed  CAS  Google Scholar 

  15. Yachia D. Letter to the editor re: corporeal plication for surgical correction of Peyronie’s dis ease. J Urol 1993; 149:869.

    PubMed  CAS  Google Scholar 

  16. Lemberger RJ, Bishop MC, Bailey CP. Nesbit’s operation for Peyronie’s disease. Br J Urol 1984; 56:721–723.

    Article  PubMed  CAS  Google Scholar 

  17. Saalfeld J, Erlich RM, Gross JM, et al. Congenital curvature of the penis: successful results with variations in corporoplasty. J Uro1 1973; 109:64–65.

    CAS  Google Scholar 

  18. Udall DA. Correction of three types of congeni tal curvatures of the penis, including the first reported case of dorsal curvature. J Urol 1980; 124:50–52.

    PubMed  CAS  Google Scholar 

  19. Devine CJ Jr, Horton CE. Peyronie’s disease. Clin Plast Surg 1988; 15:405–409.

    PubMed  Google Scholar 

  20. Devine CJ Jr, Horton CE. Surgical treatment of Peyronie’s disease with a dermal graft. J Urol 1974; 111:44–49.

    PubMed  Google Scholar 

  21. Devine CJ Jr, Jordan GH, Schlossberg SM, et al. Surgical treatment of patients with Peyronie’s disease. In: Smith PH, Pavone Macaluso P eds. Urological Oncology: Reconstructive Surgery, Organ Conservation, and Restoration of Function. New York: Wiley-Liss; 1991: 359–364. 504.

    Google Scholar 

  22. Wild RM, Devine CJ Jr, Horton CE. Dermal graft repair of Peyronie’s disease: survey of 50 patients. J Urol 1979; 121:47–50.

    PubMed  CAS  Google Scholar 

  23. Hicks CC, O’Brien DP III, Bostwick J III, et al. Experience with the Horton-Devine dermal graft in the treatment of Peyronie’s disease. J Urol 1978; 119:504–506.

    PubMed  CAS  Google Scholar 

  24. Bystrom J, Norberg KA. Free autogenous grafts into the penile cavernous tissue: an experimental study in dogs. Urol Res 1975; 3:145–148.

    Article  PubMed  CAS  Google Scholar 

  25. Melman A, Holland TF. Evaluation of the der mal graft inlay technique for the surgical treatment of Peyronie’s disease. J Urol 1978; 120: 421–422.

    PubMed  CAS  Google Scholar 

  26. Dalkin B, Carter MF. Venogenic impotence following dermal graft repair for Peyronie’s ease. J Urol 1991; 146:849–851. 55:417–421.

    Google Scholar 

  27. Jordan GH. Letter to the editor re: venogenic impotence following dermal graft re pair for Peyronie’s disease. J Urol 1992; 148:1266.

    PubMed  CAS  Google Scholar 

  28. Gelbard MK, Hayden B. Expanding contractures of the albuginea due to Peyronie’s disease with temporalis fascia free grafts. J Urol 1991; 145:772–776.

    PubMed  CAS  Google Scholar 

  29. Brock G, Nunes L, von Heyden B, et al. Can a venous patch graft be a substitute for the tunica albuginea of the penis? J Urol 1993; 150:1306–1309.

    PubMed  CAS  Google Scholar 

  30. Lowe DH, Ho PC, Parsons CL, et al. Surgical treatment of Peyronie’s disease with Dacrongraft. Urology 1982; 19:609–610.

    Article  PubMed  CAS  Google Scholar 

  31. Barret DM, O’Sullivan DC, Malizia AA, et al. Particle shedding and migration from silicone genitourinary prosthetic devices. J Urol 1991; 146:319–322.

    Google Scholar 

  32. Fishman IF, Flores FN. Retrospective review of pelvic lymph nodes in patients with previously implanted silicone penile prosthesis. J. Urol 1993; 149:569A.

    Google Scholar 

  33. Schiffman ZJ, Gursel EO, Laor E. Use of Dacron patch graft in Peyronie’s disease. Urology 1985; 25:(1)38–40.

    Google Scholar 

  34. Bazeed MA, Thüroff JW, Schmidt RA, et al. New surgical procedure for management of Peyronie’s disease. Urology 1983; 21: 501–504

    Article  PubMed  CAS  Google Scholar 

  35. Ganabathi K, Dmochowski R, Zimmern PE, et al. Peyronie’s disease: surgical treatment based on penile rigidity. J Urol 1995; 153:662–666.

    Article  PubMed  CAS  Google Scholar 

  36. Wilson SK, Delk JR. A new treatment for Peyronie’s disease: modeling the penis over aninflatable penile prosthesis. J Urol 1994; 152: 1121–1123.

    PubMed  CAS  Google Scholar 

  37. Eigner EB, Kabalin JN, Kessler R. Penile implants in the treatment of Peyronie’s disease. J Urol 1991; 145:69–72.

    PubMed  CAS  Google Scholar 

  38. Subini L. Surgical treatment of Peyronie’s disease using penile implants: survey of 69 patients. J Urol 1984; 132:47–50.

    Google Scholar 

  39. Carson CC, Hodge GB, Anderson EE. Peniledis prosthesis in Peyronie’s disease. Br J Urol 1983; 55:417–421.

    Article  PubMed  CAS  Google Scholar 

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Authors
  1. Wayne J. G. Hellstrom
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  2. Wesley W. Bryan
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Editors and Affiliations

  1. Section of Andrology and Male Infertility Department of Urology, Tulane University School of Medicine, 1430 Tulane Avenue SL 42, 70112-2699, New Orleans, LA, USA

    Wayne J. G. Hellstrom (Associate Professor Urology, Chief) (Associate Professor Urology, Chief)

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© 1997 Springer Science+Business Media New York

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Hellstrom, W.J.G., Bryan, W.W. (1997). Treatment of Peyronie’s Disease. In: Hellstrom, W.J.G. (eds) Male Infertility and Sexual Dysfunction. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1848-7_36

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  • DOI: https://doi.org/10.1007/978-1-4612-1848-7_36

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-7310-3

  • Online ISBN: 978-1-4612-1848-7

  • eBook Packages: Springer Book Archive

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