One particular problem that has received increasing attention in recent years is Peyronies diseas, a condition in which painful, hard plaques form underneath the skin of the penis leading to penile curvature. If you have pain and penile curvature characteristic of Peyronie””s disease.
What is Peyronie””s disease?
Peyronie””s disease (also known as induratio plastica penis) is an acquired inflammatory condition of the penis. The principle manifestation of Peyronie””s disease is the formation of a plaque (a segment of flat scar tissue) within the tunica albuginea of the penis.
What are the symptoms of Peyronie””s disease?
The plaques of Peyronie””s disease most commonly develop on the upper (dorsal) side of the penis. Plaques reduce the elasticity of the tunica albuginea and may cause the penis to bend upwards during the process of erection.
How is Peyronie””s disease treated?
Non-autologous allografts: These grafts are sheets of tissue that are commercially produced using human or animal sources. Allografts are uniformly strong, easy to work with and readily available because they are “off-the-shelf” in the operating room. They are generally well tolerated by most patients.
Placement of penile prosthetic devices
Placement of an inflatable penile pump or malleable silicone rods inside the corpora is a good treatment option for men with Peyronie””s disease and moderate to severe erectile dysfunction. In most cases, implanting such a device alone will straighten the penis, correcting its rigidity.
When device placement alone does not sufficiently straighten the penis, the surgeon may further straighten the penis by cracking the plaque against the rigid prosthesis or by incising the plaque and subsequently covering the incision with a graft material.