Peyronie's Disease

Peyronie's disease is due to a plaque (scar) of the tunica albuginea lining the erectile chambers resulting in a tethering and curving of the erect penis, sometimes known as the "bent spike syndrome". Surgical options include:

1. Plication or removal of several wedges of the tunica albuginea on the opposite side. This will result in penile shortening. Therefore, some men desire simultaneous penile lengthening to compensate for the shortening produced by the surgery.
2. If erections are normal but only a slight curve is present, plication or removal of a wedge of the tunica albuginea may be performed to straighten the penis at the same time as penile widening. Penile lengthening to compensate for expected shortening can be performed at the same time.
3. If erections are normal but more than a slight curve is present, incision or excision of the plaque with placement of a graft can be performed. It may be possible to do penile widening at the same time. Penile shortening is less likely than after plication or removal of wedges of the tunica albuginea.
4. If erectile impairment is present, a penile prosthesis can be inserted at the time that the plaque is incised or excised. Sometimes, penile molding or placement of the penile prosthesis alone corrects the curving of the penis.