There are several ways of treatment for peyronie’s disease. Surgical treatment is the only effective treatment and recommended only after 7, 8 months or even 12 months of observation or medical treatment as some cases of peyronie’s disease may resolve on its own. Eventhough positive results are gain after surgical procedure, complications can occur and because many of the phenomena associated with Peyronie’s disease (for example, shortening of the penis) are not corrected by surgery, most doctors prefer to perform surgery only on the small number of men with curvature so severe that it prevents sexual intercourse.

Common surgical methods include:

• Plaque excision. The plaque is removed and replaced with a patch of skin from the pubic area.
• Nesbit procedure. Is the commonest and simplest operation procedure. Tissue on the opposite side of the penis is removed or pinched, canceling the bending effect. After a Nesbit’s procedure the penis will be one to three centimetres shorter than originally.
• Plaque incision with saphenous vein graft. saphenous vein patch repair requires a more meticulous dissection to free the neurovascular bundle but has the advantage of avoiding penile shortening. Several linear cuts are made in the plaque, which allows straightening. The cut plaque is then covered with a grafted vein.
• Penile prosthesis. An implanted device is used to straighten and increase the rigidity of the penis to treat both the bend and the weak erection in the same procedure.

Obviously any operation on the penis has some risk and complications following surgical treatment in peyronie’s disease. Bleeding and infection on surgical site can occur. If treated this is unlikely to have any long term problems, but in rare cases long term damage may lead to impotence. The other complications are decrease penile sensation (numbness) and shortening of penis. After surgical procedure is done, fibrosis (scar tissue) may develop on site of surgery. Risk of anesthesia (such as cardiac, pulmonary, and other complications) is also have to be calculated.

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