Plaque excision with the Shah Penile Implantâ„¢ and tunica vaginalis graft in Peyronie's disease with erectile dysfunction: A case report.

Peyronie's disease (PD) is a condition characterized by the deposition of scar tissue in the tunica albuginea of the penis. Peyronie's disease often causes pain, worsens the quality of erections, a variable degree of penile deformation and shortening, which can cause severe distress for the patient and the partner and impact negatively on self-esteem and quality of life in general. Surgery still represents the gold standard treatment for PD in the chronic phase, and it aims to guarantee a penis straight and rigid enough to allow the patient to resume penetrative sex with confidence. Penile prosthesis implantation should be reserved for patients with refractory erectile dysfunction or in these patients with complex deformities and impaired erections. Herein is reported the case of a 51-year-old male with a large ossified PD plaque and erectile dysfunction who underwent simultaneous plaque excision and grafting and penile implantation surgery with a semirigid penile prosthesis. This was the first case of penile prosthesis implantation for Peyronie's disease in Indonesia.

International journal of surgery case reports. 2022 Apr 05 [Epub ahead of print]

Widi Atmoko, Jody Felizio, Ponco Birowo, Nur Rasyid, Akmal Taher, Giulio Garaffa

Department of Urology, Cipto Mangunkusumo General Hospital, Universitas Indonesia, Pangeran Diponegoro No 71, Jakarta 10310, Indonesia. Electronic address: ., Department of Urology, Cipto Mangunkusumo General Hospital, Universitas Indonesia, Pangeran Diponegoro No 71, Jakarta 10310, Indonesia., Andrologia Internazionale Rome, Italy.