Penile Reconstructive Surgery in Peyronie Disease: Challenges in Restoring Normal Penis Size, Shape, and Function

Area of Science:

• Urology
• Andrology
• Surgical Innovation

Background:

• Peyronie disease (PD) significantly impacts penile function and patient quality of life.
• Restoring penile size and function after PD presents complex surgical challenges.

Purpose of the Study:

• To review current surgical techniques for penile reconstruction in Peyronie disease.
• To discuss the challenges and outcomes associated with different reconstructive approaches.

Main Methods:

• Systematic literature search for studies on Peyronie disease and penile reconstructive surgery.
• Inclusion of published guidelines from major urological organizations.

Main Results:

• Penile plication is simple, preserves potency, but causes length loss and may worsen deformities.
• Graft surgery addresses length loss and deformities but carries risks of sensation changes, recurrence, and erectile dysfunction.
• Complex reconstruction with prostheses and grafts requires specialized expertise due to high complication risks.

Conclusions:

• Surgical reconstruction for PD is the standard of care but involves significant risks and lengthy rehabilitation.
• Realistic patient expectations and informed consent are crucial for successful outcomes in penile reconstructive surgery.