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Surgical Treatment for Peyronie's Disease

Surgery has been shown to be the most effective treatment for Peyronie's disease in correcting the curvature of the penis. However, it is usually only recommended in severe cases for patients who fail to respond to non-surgical therapy and have curvature for longer than 12 months.

UCSF Medical Center offers the latest surgical techniques for Peyronie's disease. These include placation, grafting and penile prosthesis.

Plication

Grafting

Penile prosthesis

Surgical technique

Stitches are put on the longer side of the penis to pull the penis to the middle

Incision is made on the short side of the penis and a graft — either a vein or pig small intestine graft — is placed to match the long side

A prosthesis is placed to help erection and straighten the penis

Penile length

Same as the length when penis stretched in the flaccid state

1/2 to 1 inch longer than the stretched penile length

About the same as stretched penile length

Risk of impotence after surgery

Very small

From 10 percent to 50 percent depending on penile circulation

N/A

Risk of nerve injury

Small

High

High

Operation time

1 hour

3 to 4 hours

3 to 4 hours

Anesthesia

Local plus sedation

General or epidural

General or epidural

Hospital stay

Not necessary

Overnight stay

Overnight stay

Return to work

1 day

2 to 3 days

2 to 3 weeks

Resume sexual intercourse

5 weeks

8 weeks

5 to 6 weeks

Other considerations

Cannot correct indentation or hourglass deformity

Second incision needed if vein is used

Higher infection rate

 

Reviewed by health care specialists at UCSF Medical Center.

This information is for educational purposes only and is not intended to replace the advice of your doctor or health care provider. We encourage you to discuss with your doctor any questions or concerns you may have.

Related Information

UCSF Clinics & Centers

Urology Practice
400 Parnassus Ave., Sixth Floor
San Francisco, CA 94143
Phone: (415) 353-2200
Fax: (415) 353-2641

Condition Information