St Peter's Hospitals and The institute of Urology, London, UK.Department of Surgery, Urology Unit, University of Pisa, Pisa, Italy.
Study Type - Therapy (case series) Level of Evidence 4.
To report our experience in the management of residual curvature after implantation of a penile prosthesis in men with Peyronie's disease (PD).
From January 1985 to June 2009, 62 (29%) of the 209 patients with PD that have undergone the insertion of a penile prosthesis have required an additional straightening procedure to correct the residual curvature after the insertion of the cylinders of the implant. The types of additional manoeuvres, their success in correcting the residual curvature and eventual complications have been reported.
Among the additional straightening procedures, modelling was more successful in achieving straightening when performed on an inflatable device (84%) than on a malleable implant (54%). If the curvature persisted after modelling or if the curvature was ventral, straightening was achieved with tunical plications or incision with or without grafting.
Although it is common for the simple implantation of cylinders alone to straighten the penis, some patients will present a residual curvature that must be successfully corrected with additional straightening procedures.
Garaffa G, Minervini A, Christopher NA, Minhas S, Ralph DJ. Are you the author?
Reference: BJU Int. 2011 Feb 11. Epub ahead of print.