Peyronie’s disease is a condition that causes the penis to become abnormally curved and painful when erect. This curvature is a result of the growth of fibrous scar tissue in the shaft of the penis. Peyronie’s disease can make it painful and difficult for a man to achieve an erection or enjoy sexual intercourse. Men with Peyronie’s disease may seek treatment to correct penile deformity and relieve painful erections.
Medical professionals may recommend surgery if a patient experiences a severe deformity that does not respond to other treatments. Surgery is considered the most effective long-term solution to Peyronie’s disease. Surgery however carries an inherent risk and no “perfect” treatment for Peyronie’s disease currently exists. Complications from surgery can lead to further scarring, reduced sensation or numbness and in rare cases, a more severe bend in the penis. For these reasons, surgery should be considered only in severe cases.
There are two primary surgeries to correct severe Peyronie’s disease:
The most common and effective method of surgical treatment involves pinching tissue on the side of the penis opposite the scar tissue. This causes a bending force that straightens the curve when erect. This procedure will actually reduce the overall length of the penis by as many as two inches and
is typically recommended for men with average penis length for this reason. Nesbit plication carries with it the lowest possibility for complications which could lead to erectile dysfunction. Success rates of 50 – 60% have been reported
using this technique.
This technique involves making small incisions on the side of the penis affected by scar tissue growth. A graft is then used to straighten the erection. The graft tissue can be composed of human or animal skin or synthetic tissue. Despite the popularity of this method, excision results range from 20-70% success rate with as many as 70% postoperative patients experiencing permanent erectile dysfunction from nerve damage. Grafting is best suited to the most severe and painful curves.
Surgery can be an effective method to treat Peyronie’s disease for some men, but it is important to consult your doctor to understand all the risks that can come with surgery.
Contact NMMC today for more information about Peyronie’s disease and how it can be treated.