Complex Peyronie's disease cases: surgery with or without penile prosthesis placement

Area of Science:

• Urology
• Andrology
• Surgical Techniques

Background:

• Peyronie's disease often necessitates surgical intervention when conservative treatments fail, particularly for patients experiencing penetration difficulties or erectile dysfunction.
• A variety of surgical techniques exist for Peyronie's disease, each with potential complications and sequelae that necessitate careful consideration by urologists.

Observation:

• This study presents three complex cases of Peyronie's disease management.
• Case 1: Complication following penile plication for a dorsal curve.
• Case 2: Erection direction issues post-plaque incision with oral mucosa grafting, impacting anal penetration.
• Case 3: Late post-operative complication after three-piece prosthesis implantation with plaque incision and equine collagen patch.

Findings:

• Surgical approaches for each presented case were thoroughly detailed and discussed.
• Patient-centered, consensual decision-making was employed after comprehensive information sharing.

Implications:

• Successful surgical management of Peyronie's disease demands a holistic approach, addressing functional, aesthetic, and psychological aspects.
• A systematic strategy is crucial for mitigating complications, managing sequelae, and optimizing surgical results in Peyronie's disease patients.