Surgical treatment of Peyronie's disease using penile implants: survey of 69 patients

Implantation of bilateral prostheses was used to treat Peyronie's disease in 69 patients. A circumferential approach was used in 46 patients and, more recently, a prepubic approach was used in 23. In addition, plaque removal was performed by a transcavernous route in 29 patients. Penile lengthening was performed in 49 patients and the glans was repositioned in 14. In 4 patients it became necessary to remove the implants. The best results without complications were observed when the prepubic approach was used for implants and lengthening of the penis, without removal of the plaque. This technique provides a penile length gain of about 3 cm. and generally does not obviate additional normal erection.