Management of erectile dysfunction in patients with peyronie’s disease

Peter Tsambarlis, Laurence A. Levine*

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The aim of this chapter is to describe the options for managing a patient who has both erectile dysfunction (ED) and Peyronie’s disease (PD). Peyronie’s disease is characterized by deformity of the erect penis including: curvature, indentation, hinge effect, and shortening. In this chapter, we examine the epidemiology and pathophysiology of the disease while dispelling myths about its causes. The mainstay of management of ED in men with PD is the inflatable penile prosthesis. In this review, we begin with a description of the workup of the patient with ED refractory to oral pharmacotherapy and PD prior to operative management. The techniques for placement of the prosthesis and straightening maneuvers including: manual modeling and tunical incision with or without grafting are described. All of the techniques discussed can be successfully implemented to aid the patient in attaining a functionally straight (less than 20 degrees) erection adequate for sexual activity. We examine the success rates as well as the complications of the aforementioned approaches while presenting techniques and interventions to maximize patient satisfaction and minimize loss of length. PD is a complex wound-healing disorder which frequently is associated with ED. Careful counseling and operative planning are required to manage these patients with the goal being to obtain a functionally straight penis capable of penetrative sexual activity.

Original languageEnglish (US)
Title of host publicationInternational Book of Erectile Dysfunction
PublisherNova Science Publishers, Inc.
Pages171-188
Number of pages18
ISBN (Electronic)9781634852890
ISBN (Print)9781634852715
StatePublished - Jan 1 2016

Keywords

  • Erectile dysfunction (ED)
  • Inflatable penile prosthesis
  • Manual modeling
  • Peyronie’s Disease (PD)
  • Tunica albuginea grafting
  • Tunica albuginea incision

ASJC Scopus subject areas

  • General Physics and Astronomy

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