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
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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 →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 →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 →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 →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 →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 →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 →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 →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
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