Special considerations for placement of an inflatable penile prosthesis for the patient with Peyronie's disease: techniques and patient preference

Special considerations for placement of an inflatable penile prosthesis for the patient with Peyronie's disease: techniques and patient preference

Matthew D Lyons, Culley C Carson III, Robert M Coward Department of Urology, University of North Carolina, Chapel Hill, NC, USA Abstract: Placement of an inflatable penile prosthesis (IPP) is the mainstay of surgical treatment for patients with Peyronie's disease (PD) and concomitant medica...

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Autores principales: Lyons MD, Carson III CC, Coward RM
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2015
Materias:
Medical technology
R855-855.5
Acceso en línea:https://doaj.org/article/58fe6b0de6b64734ace192a10f11ef3e
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spelling oai:doaj.org-article:58fe6b0de6b64734ace192a10f11ef3e2021-12-02T11:46:03ZSpecial considerations for placement of an inflatable penile prosthesis for the patient with Peyronie's disease: techniques and patient preference1179-1470https://doaj.org/article/58fe6b0de6b64734ace192a10f11ef3e2015-07-01T00:00:00Zhttp://www.dovepress.com/special-considerations-for-placement-of-an-inflatable-penile-prosthesi-peer-reviewed-article-MDERhttps://doaj.org/toc/1179-1470Matthew D Lyons, Culley C Carson III, Robert M Coward Department of Urology, University of North Carolina, Chapel Hill, NC, USA Abstract: Placement of an inflatable penile prosthesis (IPP) is the mainstay of surgical treatment for patients with Peyronie's disease (PD) and concomitant medication-refractory erectile dysfunction. Special considerations and adjunctive surgical techniques during the IPP procedure are often required for patients with PD to improve residual penile curvature, as well as postoperative penile length. The surgical outcomes and various adjunctive techniques are not significantly different from one another, and selection of the appropriate technique must be tailored to patient-specific factors including the extent of the deformity, the degree of penile shortening, and preoperative patient expectations. The aims of this review were to assess the current literature on published outcomes and surgical techniques involving IPP placement in the treatment of PD. Patient satisfaction and preferences are reported, along with the description and patient selection for surgical techniques that include manual penile modeling, management of refractory curvature with concurrent plication, and correction of severe residual curvature and penile shortening with tunica release and plaque incision and grafting. A thorough description of the available techniques and their associated outcomes may help guide surgeons to the most appropriate choice for their patients. Keywords: Peyronie's disease, outcomes, inflatable penile prosthesis, patient expectation, patient satisfaction Lyons MDCarson III CCCoward RMDove Medical PressarticleMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol 2015, Iss default, Pp 331-340 (2015)
institution DOAJ
collection DOAJ
language EN
topic Medical technology
R855-855.5
spellingShingle Medical technology
R855-855.5
Lyons MD
Carson III CC
Coward RM
Special considerations for placement of an inflatable penile prosthesis for the patient with Peyronie's disease: techniques and patient preference
description Matthew D Lyons, Culley C Carson III, Robert M Coward Department of Urology, University of North Carolina, Chapel Hill, NC, USA Abstract: Placement of an inflatable penile prosthesis (IPP) is the mainstay of surgical treatment for patients with Peyronie's disease (PD) and concomitant medication-refractory erectile dysfunction. Special considerations and adjunctive surgical techniques during the IPP procedure are often required for patients with PD to improve residual penile curvature, as well as postoperative penile length. The surgical outcomes and various adjunctive techniques are not significantly different from one another, and selection of the appropriate technique must be tailored to patient-specific factors including the extent of the deformity, the degree of penile shortening, and preoperative patient expectations. The aims of this review were to assess the current literature on published outcomes and surgical techniques involving IPP placement in the treatment of PD. Patient satisfaction and preferences are reported, along with the description and patient selection for surgical techniques that include manual penile modeling, management of refractory curvature with concurrent plication, and correction of severe residual curvature and penile shortening with tunica release and plaque incision and grafting. A thorough description of the available techniques and their associated outcomes may help guide surgeons to the most appropriate choice for their patients. Keywords: Peyronie's disease, outcomes, inflatable penile prosthesis, patient expectation, patient satisfaction 
format article
author Lyons MD
Carson III CC
Coward RM
author_facet Lyons MD
Carson III CC
Coward RM
author_sort Lyons MD
title Special considerations for placement of an inflatable penile prosthesis for the patient with Peyronie's disease: techniques and patient preference
title_short Special considerations for placement of an inflatable penile prosthesis for the patient with Peyronie's disease: techniques and patient preference
title_full Special considerations for placement of an inflatable penile prosthesis for the patient with Peyronie's disease: techniques and patient preference
title_fullStr Special considerations for placement of an inflatable penile prosthesis for the patient with Peyronie's disease: techniques and patient preference
title_full_unstemmed Special considerations for placement of an inflatable penile prosthesis for the patient with Peyronie's disease: techniques and patient preference
title_sort special considerations for placement of an inflatable penile prosthesis for the patient with peyronie's disease: techniques and patient preference
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/58fe6b0de6b64734ace192a10f11ef3e
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AT carsoniiicc specialconsiderationsforplacementofaninflatablepenileprosthesisforthepatientwithpeyronie39sdiseasetechniquesandpatientpreference
AT cowardrm specialconsiderationsforplacementofaninflatablepenileprosthesisforthepatientwithpeyronie39sdiseasetechniquesandpatientpreference
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