The etiology and evolution of Peyronie's disease are not well known, a
nd this certainly affects patient management. If spontaneous regressio
n or stabilization of the disease is lacking, actually all therapies,
except surgery, seem to be only partially successful. We attended 88 p
atients affected by Peyronie's disease, and 21 patients (23.6%) were r
eferred for surgery and penile implantation; plaque excision was neces
sary in 8 patients (38.1%). We implanted 10 malleable prostheses and I
i soft prostheses. So far, potency has been the only parameter for eva
luating the results of surgery, but in our view both the patient and h
is partner should be satisfied aesthetically and functionally.