Peyronie’s disease is a relatively common benign condition of the penis leading to the formation of fibrous scars or plaques within the erectile tissue. In the early stages Peyronie’s disease can be painful and in the long term it may cause erectile dysfunction and deformity of the penis during erection as the plaque is not elastic and therefore does not stretch as the surrounding normal tissue.
Once the disease is stable, surgery is offered if the erections are poor or the curvature makes sexual intercourse uncomfortable or impossible. Surgery traditionally involves either shortening the longer side of the penis to compensate for the already shortened scarred side (this is known as the Nesbit or Yachia procedure) or lengthening the shorter side of the penis using vascular or artificial grafts (Lue technique).
In patients with associated erectile dysfunction that does not respond to medications, the implantation of a penile prosthesis will correct the deformity and guarantee the rigidity necessary for sexual intercourse.