ABSTRACT

The option for surgical management of Peyronie’s disease usually follows the failure of medical treatment modalities and the observation over approximately 12 months that the severity of disease is no longer progressing, as measured by no change in plaque size or penile curvature. Patients with adequate erectile function can derive satisfactory surgical outcomes using plication-type procedures. Plication is considered primarily in those men with Peyronie’s disease with less than 60º of uniplanar penile curvature, absence of hourglass deformity, average or longer than average penile lengths, or ventral curvature.