Surgical Treatment Option To Correct Peyronie's Disease

by david criag - Date: 2010-09-15 - Word Count: 492 Share This!

Peyronie's disease (PD) is a condition that can make intercourse difficult. In other words, it is an acquired disorder of the tunica albuginea characterized by the formation of the plaque of fibrous tissue that may be associated with erectile dysfunction and pain on erection. Because of the curvature of penis, penetration may become difficult and the condition may be accompanied by some impairment of erectile capacity.

The exact occurrence of Peyronie's disease is unknown; it is projected as between 4 - 8 %, but the actual prevalence of this disease may be higher because of patients' reluctance to report this embarrassing condition to their physicians for cultural and psychological reasons. The disease is not life-threatening, but can cause negative impact on patient's quality of life. Various risk factors, like hypertension, diabetes, hyperlipidemia, and smoking, have been suggested. The estimated prevalence of PD at younger ages is around 8% and presents a more acute onset and a lower incidence of associated erectile dysfunction.

According to study, patients with PD are represented by a wide age range, between 20 and 84 year, with the youngest affected male reported at 19 year. Besides that, it is usually noted that PD generally affects male individuals between 40 and 70 year.

If we talk about the surgical treatment option of PD, there have been several surgical procedures successfully used to straighten the deformity associated with PD. But, there no single-best surgical approach, so, individual patients should understand treatment options before going under the knife. In addition, among patients with Peyronie's disease, only a few need corrective surgery. And, the individual who considering for surgery should have stable and mature disease and a deformity that forbids love-making or is associated with erectile dysfunction that precludes intercourse. Plus, surgery for PD should be regarded as palliation for mechanical effects of PD or associated erectile dysfunction.

Surgical treatment option is generally considered in stern, persistent cases of Peyronie's that have not responded to nonsurgical treatment. Surgical procedures involve the removal (excision) of hardened tissue and skin graft, the removal or pinching (plication) of tissue opposite the plaque to reduce curvature (called the Nesbit procedure), a penile implant, or a combination of these. The removal of plaque requires a skin graft from another area of the patient's body and may result in a partial loss of erectile function (e.g., less rigidity). The Nesbit procedure reduces the length of the erect penis.

In Penile implant surgery, a device is implanted in the corpora cavernosa that enhances the firmness. To effectively decrease the curvature of penis, the procedure may be joined together with incisions and skin grafts, or plication. After the surgery and during the rehabilitation, patients are prescribed medication that prevents them from having an erection and are advised to avoid sexual activity. Also, antibiotics are also prescribed to lessen the risk for infection. So, if you are considering penile implant to treat your PD, discuss your case comprehensively with your urologist before going under the knife.

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