Surgery

I have had Peyronie’s disease for about 5 years, my curvature is about 60 degrees, and intercourse is still possible. I have tried everything and am considering surgery. What is recommended in this type of case?

Surgery is typically reserved for men who meet one or more of the following criteria (i) difficulty or inability to achieve penetration (ii) pain for himself or his partner during attempts at penetration (iii) psychological distress at the presence of penile deformity and (iv) stable plaque that

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As a spouse of a PD patient, what is the best way to approach the “inadequate” mental state my husband experiences — ignore, encourage, be candid, recommend medical treatment?

This is a very important question and I am delighted that you are concerned enough to address it in this website. Peyronie’s disease has been known for many years, but has recently been demonstrated in a proper trial to result in significant depression in the affected male.

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Are most patients who go through the Nesbit procedure or the grafting procedure better off after the surgery than before?

Dr. Levine answers: The question is clearly a good one and important to recognize that the indications for surgical correction depend upon several factors, and first and most importantly that the deformity of the penis interferes with sexual activity enough that it is difficult or impossible to

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Regarding penile implants, do you predict technology will modernize these? Such as enabling the implant to be the same size inflated, as once the original erection was, or maybe larger?

Penile implant technology has improved remarkably since the first inflatable devices of the early 1970s. The improvements were primarily to make the devices more reliable and less likely to mechanically fail. Various other modifications have been made to try to optimize the sizing of the prosthesis to

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Is PD progressive? Will I continue to lose length and girth? Is there any type of laser surgery to reduce calcified scar tissue?

PD is a progressive scarring disorder which does tend to stabilize anywhere from 6 months to 2 years after onset. During the progressive active phase, scar will develop and then will cause progressive contraction. This may result in the noted deformities including curvature, shortening and a variety

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I have had Peyronie’s for about 2 year now; I have tried verapamil cream, no change. My doctor is so negative regarding surgery. Before the disease when erect I was 8 inches, now I am about four and then a two inch bend at a 90- degree angle up and have also lost some circumference. I have no pain at all. I read an article about a new procedure where they sort of scrape the scar with a needle length wise.

It is not uncommon for physicians who do not see a lot of Peyronie’s disease patients and who do very little Peyronie’s disease surgery to have negative thoughts about this surgery. In the hands of an expert surgeon and after a comprehensive discussion giving the patient realistic

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Is transplantation for PD impossible?

Dr. Levine answers: At this point there is no evidence that anyone is recommending a penile transplant. It is certainly a procedure which is technically possible, but with potential significant complications and the need for lifelong immunosuppression to reduce rejection. In men who have had penile amputation

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