Peyronie's disease with erectile dysfunction: penile modeling over inflatable penile prostheses

Area of Science:

• Urology
• Andrology
• Reconstructive Surgery

Background:

• Advanced Peyronie's disease presents significant challenges due to severe penile curvature and poor erectile function.
• Surgical correction is often necessary for patients with advanced disease and erectile dysfunction.

Purpose of the Study:

• To retrospectively evaluate the efficacy of penile modeling over an inflatable penile prosthesis.
• To assess the impact of this technique on penile curvature and erectile function.

Main Methods:

• 46 patients with advanced Peyronie's disease and erectile dysfunction received inflatable penile prostheses (1998-2003).
• 28 patients (61%) underwent standard penile modeling; 18 (39%) had curvature corrected by prosthesis inflation alone.
• Postoperative evaluation included clinical assessment and postal questionnaires.

Main Results:

• High patient satisfaction (44/46) with penile correction.
• Significant improvement in erectile function in 93% (41/44) of patients with intact prostheses.
• Low complication rate; only 2 prostheses removed due to infection, with subsequent revisions also failing.

Conclusions:

• Penile modeling over an inflatable penile implant is a viable option for severe Peyronie's disease.
• This approach successfully corrects curvature and enhances erectile function.
• Urologists should offer penile modeling as a treatment choice for affected patients.