Abstract
Clinical Evaluation and surgical Management of Peyronie's disease
Highlights
IntroductionPeyronie’s disease is a localized fibrosis of the tunica albuginea resulting in plaque formation, painful erection and deviation of the erected penis – despite centuries of recognition since (1743), Peyronie’s disease remains a puzzle
The patient should understand Peyronie’s disease (PD) surgery algorithms and how they are chosen for application to his particular case: a
Plication surgery: Preferred for patients having adequate penile length, intact erectile function, their curvature looks reasonably correctable with this approach, and minimal/absent hourglass deformity causing hinging
Summary
Peyronie’s disease is a localized fibrosis of the tunica albuginea resulting in plaque formation, painful erection and deviation of the erected penis – despite centuries of recognition since (1743), Peyronie’s disease remains a puzzle. Aim of our work is to evaluate diagnostic protocol and management of patients at different age groups attending the outpatient clinic at Minia University Hospital presented by palpable penile plaque. Patients and Methods: We evaluated 18 patients (from 40 to 60 ys) with severe degree of penile angulation and palpable plaque by surgical interference in the form of plication of tunica albugenia (10 patients) and penile prosthesis implantation (8patients). Results: As regards results of surgical interference 8 cases out of 10 (80%) developed improvement of penile bending from 40° to 10° (significant improvement), whereas all patients of penile prosthesis (100%) developed improvement of penile bending from 45° to 0°.
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