Peyronie's Disease.

The objective of surgical treatment for Peyronie's disease is to restore a painless, straight, and natural erection that is sufficient for intercourse. Plication procedures are associated with penile shortening, especially in cases of excessive curvature or rotation. Grafting procedures may prevent penile shortening, but they are often associated with poor postoperative anatomical and functional results caused by graft shrinkage and postoperative graft-associated corporeal veno-occlusive dysfunction. Surgical straightening of penile curvature with tunica plication and tunica albuginea free grafts is a simple and highly efficacious treatment modality with excellent functional results. It is associated with minimal postoperative shortening and eliminates major immediate and late complications, including recurrent curvature. It preserves erectile capacity in men with preoperative normal erectile function. Initial long-term patient satisfaction data, with lasting cosmetic and functional results, indicate that the proposed technique may be used as the indicated procedure for successful surgical treatment of excessive congenital or acquired penile curvature malformation. [ABSTRACT FROM AUTHOR]