V3-01: Inflatable Penile Prosthesis Insertion with Synchronous Penile Plication for the Treatment of Erectile Dysfunction and Peyronie’s Disease
Twenty to thirty percent of patients with Peyronie's disease have erectile dysfunction refractory to medical therapy. We present clinical outcomes of inflatable penile prosthesis (IPP) placement with synchronous penile plication for the simultaneous correction of Peyronie's disease and erectile dysfunction.
Patients receiving IPP placement with synchronous penile plication were reviewed. After induction of an artificial erection through saline intracorporal injection, plication was performed through a penoscrotal incision retracted distally along the penile shaft as needed for correction. IPP placement was then conducted through the same incision.
27 patients with dorsal, lateral, or biplanar curvature with a mean age of 63 years underwent IPP with synchronous penile plication from 2010 to 2015. Mean pre-op curvature was 37 degrees corrected to <5 degrees after plication. A mean of 4 sutures (range 3-6) were used for PP with each suture providing a mean correction of 8 degrees. No patient suffered post-operative complications and all patients were discharged home on post-operative day one. Upon follow up, three patients reported residual curvature; however, no patient reported continued pain or required release of plication sutures. </p>
IPP placement with synchronous penile plication is a reliable option for correction of erectile dysfunction and Peyronie's disease.