Management of Peyronie's Disease During Placement of Penile Prosthesis

被引:0
|
作者
Tonzi, Michael [1 ]
Shridharani, Anand [1 ]
机构
[1] Univ Tennessee, Dept Urol, Coll Med Chattanooga, 979 E 3rd St,Suite C-925, Chattanooga, TN 37405 USA
关键词
Penile prosthesis; Peyronie's disease; Plaque excision; Plaque incision; Tunica albuginea plication; Modeling; Excision and grafting; ERECTILE DYSFUNCTION; SURGICAL ALGORITHM; RESIDUAL CURVATURE; COLLAGEN FLEECE; SURGERY; IMPLANTATION; SATISFACTION; PLICATION; PATIENT; RATES;
D O I
10.1007/s11930-020-00301-4
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose of ReviewUp to 20-30% of patients with Peyronie's disease (PD) suffer from some degree of erectile dysfunction (ED). When medical management fails, the surgical approach towards those with PD and ED relies on the penile prosthesis.Recent FindingsGraft material has advanced in recent years, and hemostatic patch material has emerged as a promising, easy to use, and cost-effective approach. Intracorporal techniques that obviate the need for neurovascular bundle mobilization have recently been described, and can be considered a frontier for further investigation.SummaryA thorough literature review was performed using the PubMed online database with query: "Penile Prosthesis" and "Peyronie's disease" with "Plaque excision," "Plaque incision," "Tunica albuginea plication," "Modeling," and "Excision and grafting." While the three-piece inflatable penile prosthesis (IPP) is commonly used, malleable implants may also achieve success where three-pieces are unavailable or not appropriate for use. When implant alone does not correct the deformity, manual modeling is a mainstay in treating residual curvature. Tunica plication, incision, and excision/graft techniques are required in patients with more severe/complicated plaques.
引用
收藏
页码:23 / 29
页数:7
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