General

I’m 21 and I’m going to have surgery of penile plication. How often does the patient have pain after this procedure? How long does the pain stay? Is the scar very uncomfortable? How much time to recuperate from this surgery?

Penile plication is the simplest of the three surgical approaches for Peyronie’s disease and is best used for deformities of less than 60 degrees and when there is not a significant indentation causing a hinge or buckling effect. Plication does have the lowest risk of postoperative erectile

Read more

I had surgery for Peyronies disease in April of 2012. I have an allergy to iodine but the incompetent post-op nurse put iodine all over my penis to insert a catheter. This caused massive quarter-sized blisters all over the head of my penis that spread into the sutures. I keep having electrical shooting pains through my penis frequently. The surgical doctor said I have nerve damage from the allergic reaction. The hospital is arguing this point saying this is not possible. Any thoughts?

It is unfortunate that you had a Betadine reaction, this is extremely unusual but having had topical blisters can be quite painful in the area of the glans; typically, this will heal and not leave any long term problems. If indeed there is some question of permanent

Read more

In men who have severe curvature or hour glass deformity, will the grafting procedure cause a further loss of length or width? If so, do you recommend the vacuum pump after surgery and does it help with length or width?

This question pertains to men with severe disease, that being greater than 60-70 degrees of curvature and/or with destabilizing indentation or hinge. To be a candidate for a grafting repair the man must have good quality erections preoperatively with or without PDE5 inhibitors, such as Viagra, Levitra,

Read more

I have a 90-degree bend, and have for 3 years. Is plaque incision and patch grafting a viable operation and what are the chances of success?

Plaque incision and grafting (PIG) is an excellent option for men with significant curvature (greater than 45 degrees), young age and normal erectile function. The success rate defined as having a straight erection after surgery is greater than 85%. However, it is associated with some side effects

Read more

I have Peyronie’s disease and recently have gone through implant surgery. However, the length and girth of my penis was significantly decreased and my wife no longer gains any feeling/satisfaction because of the reduction in girth. Is there anything that can be done to increase the girth such as penile widening by injecting my own fat cells into the penis?

Dr. Mulhall answers: PD causes shortening and sometimes narrowing of the penis because of the scar contraction that is associated with PD. The placement of many of the inflatable implants results in widening of the girth but no increase in length. Patients in my practice with PD

Read more

Does the Lue procedure in conjunction with plaque incision give good results?

By the Lue procedure I presume you mean the 16-dot plication technique. This is an excellent procedure for men with low degrees of uniplanar curvature without indentations or hour-glass deformity. It is of course associated with penile shortening as we are shortening the long side of the

Read more

Can the laser knife treatment for cancerous tumors be used to treat Peyronie’s disease instead of invasive surgery?

It does not appear to be any advantage to use of the laser knife or any other laser treatment for Peyronie’s disease. Studies have been done in the past which actually showed that the results following laser surgery on the plaque resulted in a much higher rate

Read more

Are there any US urologists who use lithotripsy for treatment?

There may be ongoing studies using shockwave therapy for Peyronie’s disease, but it is not yet approved and it is unlikely to be approved as the majority of published studies and ongoing reports have not shown benefit following the use of shockwave therapy for Peyronie’s disease. A

Read more

What is the effectiveness of incision/excision surgery where a graft will fill in the area worked on?

Plaque incision or partial excision surgery is indicated for men who have more severe curvature, in excess of 60-70 degrees with or without severe indentation or hourglass effect causing a hinge or buckling effect. In these circumstances, an incision is made through the area of maximum curvature,

Read more

I have been diagnosed with PD for over a year. I am interested in getting the surgical procedure that removes the plaque and replaces it with a graft made from pig intestine. Can this procedure preserve length and girth? What is your opinion of this procedure?

Most authorities no longer remove the entire plaque but rather incise (cut) and then place a graft in the gap left behind. Two of the most commonly used grafts today are cadaveric pericardium (Tutoplast) and intestinal submucosa (Surgisis). There is no evidence to show that one is

Read more