New: NCI-funded clinical trial search
Mednet Logo

How do you approach residual penile curvature during inflatable prosthesis placement in a patient with Peyronie's disease?

Do you rely on manual modeling alone to correct residual curvature, or do you routinely perform additional straightening procedures regardless of the degree of curvature?
2 Answers
Mednet MemberInvited Expert
Urology · University of Iowa Hospitals and Clinics
Answered on

I think that if residual curvature is less than 30 degrees, modelling is a reasonable option for management. Anything more than that is usually best managed with additional straightening maneuvers with either plication or incision and grafting.

I usually wait until after dilation to make the decisio...

Join for free or sign in to see the full answer

Mednet MemberInvited Expert
Urology · NYU Langone Medical Center
Answered on

I usually start with modeling since it's the simplest. Once the cylinders are in, I inflate fully and see where we are. Dilation and the device alone take out a lot of the curve. If there's still a bend, I model it and recheck.

If modeling isn't enough, I'll plicate the long side, as long as there's...

Join for free or sign in to see the full answer