[Surgical treatment of La Peyronie's disease]

Lapeyronie disease is responsible for curvature of the penis, making sexual intercourse painful or even impossible. Surgical treatment can be proposed when the plaque has remained stable for at least 6 months and after failure of medical treatment. It is designed to restore erection allowing penetration. Examination after an intracavernous test allows assessment of the deformity and the quality of erection. These two objective parameters appear to be decisive in the choice of the most appropriate technique. Two types of methods are available: cavernoplasties (resection-plication of the tunica albuginea, excision-graft) and prosthesis implantations (semirigid, inflatable and flexible implants). This paper reviews the various surgical techniques and proposes a decisional flow-chart based on the results of the intracavernous test.