Semi-rigid Penile Prosthesis for the Treatment of Peyronie's Disease and Erectile Dysfunction

Abstract

Background: Peyronie's disease is a condition that results from fibrous scar tissue that forms in the tunica albuginea of ​​the penis causing curved and painful erections, resulting in impairment of sexual function due to both erection difficulties and erectile dysfunction. Material and Methods: The Case presented below is selected from the database of the Urology Service of the Old Civil Hospital of Guadalajara ‘’ Fray Antonio Alcalde ’’. Case Presentation: This is a 61-year-old male patient who consulted for sexual dysfunction characterized by erectile dysfunction associated with dorsal curvature of the penis of approximately 14 months of onset. Physical examination revealed a dorsal plate in the penis producing a curvature of 87 degrees, verified on ultrasound of 3.3 cm in length. Therefore, the semi-rigid penile prosthesis is placed taking into account an excellent clinical evolution, in the post-operative follow-up the patient refers to 100% sexual function, with total sexual satisfaction of the patient and his partner. Conclusion: With this we conclude that among the different treatments that can be offered to the patient, surgical treatment is for patients with disease for more than 12 months and a deformity that compromises sexual function, among them the penile prosthesis is the best therapeutic option in patients with a severe degree of Peyronie's disease and with it sexual dysfunction.