Abstract OBJECTIVE: • To report our experience in the management of residual curvature after implantation of a penile prosthesis in men with Peyronie's disease (PD). PATIENTS AND METHODS: • 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. RESULTS: • 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. CONCLUSION: • 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.
The management of residual curvature after penile prosthesis implantation in men with Peyronie's disease / Garaffa, G; Minervini, A; Christopher, Na; Minhas, S; Ralph, Dj.. - In: BJU INTERNATIONAL. - ISSN 1464-410X. - STAMPA. - 108:(2011), pp. 1152-1156. [doi10.1111/j.1464-410X.2010.10023.x]
The management of residual curvature after penile prosthesis implantation in men with Peyronie's disease.
MINERVINI, ANDREA;
2011
Abstract
Abstract OBJECTIVE: • To report our experience in the management of residual curvature after implantation of a penile prosthesis in men with Peyronie's disease (PD). PATIENTS AND METHODS: • 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. RESULTS: • 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. CONCLUSION: • 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.File | Dimensione | Formato | |
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