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Peyronie’s Surgery Safe and Effective for Older Men

They analyzed the medical records of 86 men over age 65 (average age 68) who had surgery for Peyronie’s disease between 2010 and 2017.

The men underwent one of three procedures:

  • Penile prosthesis implantation with straightening maneuvers (PP+SM).The 39 men in this group had severe erectile dysfunction (ED) that didn’t get better with oral medication. They received a penile implant, a device that allows men to create an erection on demand.
  • Tunica albuginea plication (TAP).The 25 men in this group had a less severe curve with no hinge or hourglass effects. The surgeon straightened the penis by suturing the area without plaques.
  • Penile partial incision with grafting (PEG). The 22 men in this group had a more severe curve of over 60 to 70 degrees. Some had the hinge effect. Their surgery involved cutting into the plaque to straighten the penis. The cut area was then filled with a graft material.

The men had follow-up visits for at least nine months after surgery.

For 95% of the men, “functional straightness” was achieved. Their curve had been reduced to under 20 degrees and they were able to have penetrative intercourse. Most said they were able to have penetrative sex regularly. Each group had a satisfaction rate of about 85%.

Three complications were reported. One man had urinary retention, another had a nerve injury that affected his elbow, and a third developed swelling from clotted blood. All were treated accordingly.

The authors noted that all of the surgeries were performed by the same “highly-experienced” surgeon at one location. Men undergoing treatment at other medical centers or with less experienced surgeons might not see the same results.

They also recommended that men with Peyronie’s disease receive counseling before treatment so that they know what to expect.

Resources

The Journal of Sexual Medicine

Abdelsayed, George A., MD, et al.

“The Surgical Treatment of Peyronie’s Disease in the Older Man: Patient Characteristics and Surgical Outcomes in Men 65 and Older”

(Full-text. Published online: September 6, 2019)

https://www.jsm.jsexmed.org/article/S1743-6095(19)31368-2/fulltext

Mayo Clinic

“Peyronie’s disease – Diagnosis & treatment”

(August 7, 2017)

https://www.mayoclinic.org/diseases-conditions/peyronies-disease/diagnosis-treatment/drc-20353473

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