Penile Prosthesis in the Correction of Penile Curvature: When Is It Indicated?

Superfície rosa com tábua de corte de madeira marrom clara ao centro com três pimentas vermelhas com cabos verdes representando a prótese peniana na correção da curvatura peniana

Penile Prosthesis in the Correction of Penile Curvature: When Is It Indicated?

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Use of the Penile Prosthesis in Penile Curvature Correction for Men with Peyronie’s Disease

Erectile dysfunction can be one of the consequences of Peyronie’s Disease in men.

This condition, which forms fibrosis plaques inside the penis, results in changes to the appearance of the member (curvature, size reduction, and/or thinning) due to interference with elasticity, can also alter erection capability.

This occurs when, due to curvature, a man has difficulty or is unable to penetrate, thus forcing the penis. Erectile dysfunction may also result from poor blood vessel circulation in the penis, or when the deformity generates certain anxiety that causes psychogenic erectile dysfunction.

For physical cases of erectile dysfunction where clinical treatments do not yield good results, the penile prosthesis in penile curvature correction can be a valuable ally in helping to recover sexual function.

What Is the Function of the Penile Prosthesis?

The placement of the penile prosthesis in penile curvature correction aims to help patients who, due to Peyronie’s, have developed erectile dysfunction or vice versa.

That is, the penile prosthesis aims to recover the penetrative ability of the penis.

With the prosthesis, when penetrating, the man will have a firm and long-lasting erection until sexual satisfaction is achieved – and, he can continue the relation immediately after ejaculation and orgasm.

This occurs thanks to the mechanical functioning of the malleable or inflatable penile implant malleable or inflatable, which is activated by the man whenever he wishes.

The penile prosthesis for curvature correction also serves to prevent new retractions, avoiding that deformities reappear after some time.

Elective Patients for the Prosthesis

The penile prosthesis is recommended only for certain patient profiles. These are those who, in addition to penile curvature, have a severe case of erectile dysfunction.

Typically, these patients have very deep fibroses and/or poor blood circulation, and they are unlikely to achieve any effective response with another type of treatment.

However, patients who show improvements in penile functionality with medications such as Sildenafil and Tadalafil do not need the penile prosthesis for curvature correction.

Moreover, men who have only psychogenic erectile dysfunction can benefit from treatments with therapists and sexologists, who can help develop the necessary self-confidence forthe moment, without the need for surgical interventions.

Black surface with a black stone board in the center and a red curved pepper with a green stem symbolizing the use of the penile prosthesis in the correction of penile curvature

Beyond the Prosthesis: Recommended Methods for Penile Curvature Correction

Before continuing, it is very important to clarify: the penile prosthesis is not directly related to the correction of deformities of Peyronie’s Disease, such as curvature, thinning, and loss of size.

What the penile prosthesis will do for the penis is to provide support for the erection, treating the erectile dysfunction that is often associated with Peyronie’s. Thus, the member will have more rigidity and can penetrate without worries.

Men who exhibit a considerable degree of penile curvature may receive surgical treatment indication for the condition.

With the use of one of the techniques refined since the 1960s, it is possible to align the penis, as well as treat thinning and regain the size of the penis up to the limit of the nerves.

Some surgical techniques, such as the TEP Strategy, allow not only to correct penile deformities but also to prepare the member for receiving the implant, in the same surgery.

In this case, it is possible to treat patients who also present erectile dysfunction associated with curvature, providing more rigidity to the member so that the man can perform penetration.

Erectile dysfunction can be a detrimental consequence of Peyronie’s Disease in men and, in severe cases, clinical treatments will not be able to help.

The penile prosthesis in penile curvature correction can help to recover the functionality of the member after aligning it, so that the patient can have a rigid and long-lasting erection, as well as a satisfactory sexual life. Make your evaluation and learn more.

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Paulo Egydio, M.D.

PhD in Urology from USP, CRM 67482-SP, RQE 19514, Author of Geometric Principles (known as “Egydio Technique”), as well as other articles and scientific books in the area. Guest professor to teach classes and live surgeries at conferences in Brazil and abroad.

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