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PEYRONIE DISEASE SURGERY

Peyronie disease manifests with a penile curvature, caused by the appearance of an inflammatory fibrous plaque that produces the retraction of the corpora cavernosa. Peyronie disease causes are unknown in most cases; however, this condition is more common than we think, affecting 5% of men over 50.

The incurvation is often painful and it can make more difficult or even impossible to have sexual relations. The evolution of peyronie disease lasts from six to twelve months, time after which the disease is stabilized.

Our team has broad experience in the treatment of Peyronie disease, especially in the surgical treatment. We perform all existent surgery procedures: plicature, patch and penile prosthesis implant.

TREATMENT

First-phase treatments are drugs that reduce inflammation and pain. Once the pain has receded, we proceed to the surgical intervention.

There are three types of surgery to treat Peyronie disease:

  • Plicature: it is the easiest procedure. Some counter-traction points are placed on the opposite side of the plaque to counteract its effect. The risk of erectile dysfunction is very low with this procedure; however, with this surgery the penis length is shortened by 2 to 3 centimeters.
  • Patch: a tissue graft (oral mucosa, vein tissue, synthetic material) is placed where the plaque used to be. The main disadvantage of this procedure is the possibility of erectile dysfunction after surgery. However, this procedure does not shorten the penis length.
  • Penile prosthesis: in patients who suffer from Peyronie disease and erectile dysfunction, it is necessary to remove the plaque and to implant a penile prosthesis.

Blog del Dr. Romero-Otero

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