Peyronie's Disease is a medical condition where the curvature of the penis occurs. Some men recover from Peyronie's spontaneously, where the curvature reverses on its own. So, peyronie's surgery isn't typically recommended unless patients have tried non-surgical therapies and failed, if the curvature has persisted for 12 months or more, or if the curvature interferes with sexual penetration. The four Peyronie's surgery options are plication, tunical-shortening, grafting and penile prosthesis. Before undergoing these procedure, its best to discuss with your physician what are reasonable expectations as a result of the procedure.
This surgical technique is pretty daunting. The long side of the penis is pulled to the middle by placing stitches on the longer size. The penile length should still remain the same, and the likelihood of developing ED after this Peyronie's surgery is very small. It's a quick surgery, taking about an hour after which patients return to work the next day and can resume having sex after about 5 weeks. Candidates for this procedure have sufficient penile length (as loss of length has been reported in 46-100% of patients) and have a similar curvature without deformity. Even with these results, patients report a high rate of satisfaction. Ideal patients for this surgery are those that have plaque located towards the end of the penis and do not have severe angulation.
In this procedure, a portion of the prominent point of curvature is removed, causing a shortening on the long side of the penis, allowing straightening to occur. Patients report high satisfaction rates, however nerve damage is also likely which can lead to sensory loss and erectile dysfunction. This procedure is ideal for patients whose erectile function is good, the curvature is simple and 60° or less, and significant hourglass or hinge-type deformity is not present.
This is a more invasive Peyronie's surgery option where a vein is grafted into the short side of the penis such that it matches the longer side. Penile length may slightly increase as the shorter side is stretched. However, a large drawback is the 10-50% likelihood of ED developing post-surgery. Nerve damage is also much more likely due to the invasive nature of this Peyronie's surgery, 10% of men may develop prolonged loss of penile sensation. Loss of penile sensation can occur also if the plaque is located under a nerve bundle. There is also a longer return to work time of 2-3 days, and hiatus from sex of 8 weeks.
This is the most invasive surgery option available. There are two different types of implants, a malleable 2 piece and a pump 3 piece design. The two piece is a semi-rigid rod inserted into the penis that is manually straightened to get into the erection position. For Pyronie's patients, the penis is stretched and the prosthesis straightens out the curvature. The penis remains about the same length, but post-surgery return to work time is much longer at 2+ weeks. Sex is not recommended for 5 weeks or more post-surgery. Due to the invasiveness of the procedure, nerve damage is also possible. Patients report a high rate of satisfaction post-surgery, however, partners have reported that the erections do not look natural.
Peyronie's disease begins with a lump forming on the penis, typically due to physical injury or injury during sex. The lump is a scar that forms on the lining of the penis (it begins as inflammation, and results in the scar). The scar may heal itself over the first 12 months (in approximately 20% of men developing Peyronie's). Or, in more severe cases the scar hardens, causing the penis to curve.
There has been speculation that PRP Injections may help to reverse Peyronie's by more rapidly healing the scaring, although, there have not been extensive studies on this claim. Scientific research does support PRP for healing joint injuries where scar tissue forms, so this linkage is not without basis.
If you are interested in trying PRP for Peyronie's Disease treatment, Contact Us.