[Operative therapy of Pyronie's disease]

The operative therapy of Pyronie's disease (penile induration) follows a staged scheme. If the deviation is > 45° a complex operative treatment in the sense of plaque incision and excision with subsequent defect coverage is necessary. This operation should be carried out under optical magnification to safeguard the vessel-nerve bundle. Defect coverage can currently be carried out using a collagen fleece with excellent outcome but alternative patches are also still available. The focus in patient management is on a realistic preoperative estimation of the situation in order to avoid any unrealistic preconceptions and expectations by the patient.