Reconstructive Urology & Men's Health

Three Surgical Treatments for Peyronie's Disease

by William O. Brant, M.D.

PD Treatment

This table lists three surgical PD treatment options offered at University Health Care. Performed by expert specialist Dr. William O. Brant, M.D., each surgery gives the patient different treatment options to choose from.

Plication Grafting Penile Prosthesis

Surgical Technique

Put stitches on the longer side of the penis to pull the penis to the middle

Making incision on the short side of the penis and place a graft (either vein or other material) to match the long side

Placement of a prosthesis to help erection and straighten the penis

Penile length

Same as the length when stretched in the flaccid state

1/2 to 1 inch longer than the stretched penile length (depends on the amount of curve)

About the same as stretched penile length

Risk of impotence after surgery

Very small

From 10 to 50%, depending on penile circulation

N/A

Risk of nerve injury

small

Moderate

small

Operation time

One hour

3-4 hours

1-3 hours

Anesthesia

Local & sedation

General or epidural

General or epidural

Hospital stay

Not necessary

Overnight stay

Outpatient/Overnight

Return to work

1 day

2-3 days

1-4 weeks (depending)

Resume sexual intercourse

5 weeks

8 weeks

5-6 weeks

Other

Cannot correct indentation or hourglass deformity

Second incision needed in some cases

Severe penile shortening if the device gets infected