What's known on the subject? and What does the study add?
The association between Peyronie's disease (PD) and erectile dysfunction (ED) is reported to be 20–70%. Frequently, men who suffer from both ED and PD do not respond to erectogenic medication. In such cases, a simple straightening operation does not provide any benefit to the patient, as inadequate rigidity still impedes sexual intercourse. For these patients, surgical correction of the curvature should be performed with simultaneous penile prosthesis implantation. Penile prosthesis implantation guarantees a functional straight penis. Almost all patients report adequate rigidity for sexual intercourse postoperatively; however, in up to 50% of cases, patients are dissatisfied with the postoperative penile length. In cases of penile prosthesis implantation for PD, a simultaneous penile lengthening procedure should be performed to increase postoperative satisfaction rates.
We report our experience using a novel method for restoration of penile length and girth in patients with PD by grafting. Our study shows that penile prosthesis implantation with concomitant penile lengthening and girth restoration based on circumferential tunica albuginea incision is highly effective for extensive penile shaft reconstruction to correct severe penile shortening and narrowing, resulting in maximum penile length gain and girth restoration, regardless of plaque characteristics.