[Operative therapy of Pyronie's disease]

Area of Science:

• Urology
• Andrology
• Surgical Therapy

Context:

• Peyronie's disease (penile induration) requires surgical intervention for severe penile curvature (>45°).
• Current surgical techniques involve plaque incision/excision with defect reconstruction.
• Optical magnification is crucial for preserving neurovascular structures during surgery.

Purpose:

• To outline the staged operative approach for Peyronie's disease.
• To detail complex surgical techniques for significant penile deviation.
• To emphasize the importance of patient counseling regarding realistic expectations.

Summary:

• Complex surgical repair for Peyronie's disease involves plaque incision and excision with defect coverage.
• Collagen fleece is a viable option for defect coverage, with alternatives available.
• Meticulous surgical technique under magnification is essential for optimal outcomes.

Impact:

• Provides a framework for surgical management of severe Peyronie's disease.
• Highlights the use of collagen fleece for defect reconstruction.
• Stresses the importance of preoperative patient education for managing expectations and improving satisfaction.