Surgery of induratio penis plastica

Surgery for Peyronle's disease is not a causal therapy. It is indicated in men with penile deviation impeding sexual intercourse, considerable pain du ring erection and concomitant erectile dysfunction. An adequate information and counseling of the patient on the nature of the disease, surgical resul ts and possible complication is important. Plication procedures, incising/e xcising methods with grafting and methods with prosthesis implantation can be distinguished. Among plication procedures, those with corporoplasty (e. g. Nesbit operation) are superior to techniques without corporoplasty (e.g. Essed-Schroeder). In excising/incising procedures, autologous (e.g. vein p atches, tunica vaginalis, dermal grafts) or synthetic materials (e. g. Tach oCom((R))) are used for grafting. So far, there is no evidence that one of the materials is definitively superior. The following results were reported : persistent[recurrent deviation 17 - 29 %, postoperative erectile dysfunct ion 0 - 33 %, shortening of the penis 0 - 100 %, patient satisfaction 50 - 85 %, complications 0-50%. The indication for implantation of a penile pros thesis is concomitant erectile dysfunction (i. e. veno-occlusive type). The proper selection of the adequate procedure is dependant on the individual findings and the patient's preference.