Surgical Treatment for Peyronie’s Disease in Washington Heights, NY

Peyronie’s disease surgery is a key treatment for men experiencing severe penile curvature, deformity, or shortening that impairs function and hasn’t responded to other treatments. Surgery is best suited for patients with stable conditions, meaning no recent changes in curvature or pain for 3-6 months.

Washington Heights Urology offers advanced surgical options for Peyronie’s disease, tailored to each patient’s specific needs and goals. With a focus on restoring penile function and confidence, our team provides expert care to help you achieve optimal results.

Call us today at (212) 781-9696 or use our secure online form to schedule your consultation and take the first step toward recovery.

Surgical Goals

The surgical goals at Dr. Robert J. Valenzuela’s urology practice focus on restoring both function and confidence for patients. These objectives include straightening the penis to correct curvature and deformities, preserving or enhancing erectile function—whether naturally or with prosthetics—and restoring penile length whenever possible to address any shortening caused by the condition or its treatment.

Pre-Surgical Assessment

1. Curvature Severity: Evaluated through penile injection and erection tests.
2. Plaque Characteristics: Ultrasound assesses plaque size, location, and calcification.
3. Erectile Function: Gauged through medical history, questionnaires, and Doppler ultrasound.
4. Patient Goals: Clear communication ensures realistic expectations of surgical outcomes.

Surgical Options for Peyronie’s Disease

1. Plication Surgery

• Best For: Mild to moderate curvature (<70 degrees) and good erectile function without major penile shortening.
• Procedure: Sutures counteract curvature on the longer side of the penis.
• Pros: Minimal risks to erectile function; shorter recovery.
• Cons: May cause slight penile shortening; unsuitable for complex deformities.

2. Plaque Incision or Excision with Grafting

• Best For: Severe curvature or deformities without erectile dysfunction.
• Procedure: Plaques are incised/excised, straightening the penis. Grafts prevent contracture.
• Pros: Addresses severe cases and may restore length.
• Cons: Longer recovery; potential for erectile dysfunction due to nerve/vascular impact.

3. Penile Prosthesis Implantation

• Best For: Peyronie’s disease with severe erectile dysfunction unresponsive to treatments.
• Procedure: Implants (semi-rigid or inflatable) resolve curvature and dysfunction.
• Pros: Dual treatment for curvature and ED; reliable, long-term results.
• Cons: Risks include infection and prosthesis malfunction; irreversible.

Post-Surgery Recovery

Post-surgery recovery under the care of Dr. Robert J. Valenzuela typically involves a healing period during which normal activities can resume within 4 to 6 weeks, and sexual activity is advised after 6 to 8 weeks. Regular follow-up appointments are essential to monitor progress, address any complications, and ensure patient satisfaction. To further optimize recovery, techniques such as vacuum devices or manual stretching may be recommended as part of the aftercare process.

Surgical Risks and Complications

Surgical procedures carry potential risks and complications, as with any medical intervention. Erectile dysfunction is the most common complication associated with grafting procedures, while severe cases may result in residual curvature. Penile shortening is a possibility, particularly with plication techniques, and though rare, infection or wound-healing issues can occur. Additionally, some patients may experience decreased sensation due to nerve damage. Dr. Valenzuela ensures a thorough discussion of these risks to help patients make informed decisions about their care.

Choosing the right surgical approach for Peyronie’s disease depends on curvature severity, erectile function, and patient preferences. Collaborating with an experienced urologist is essential for personalized care and achieving optimal outcomes.

References:

1. Zaid UB, Alwaal A, Zhang X, Lue TF. Surgical management of Peyronie’s disease. Curr Urol Rep. 2014 Oct;15(10):446. doi: 10.1007/s11934-014-0446-x. PMID: 25118854.
2. Colombo F, Franceschelli A, Gentile G, Droghetti M, Fiorillo A, Palmisano F. The evolution in the surgical management of Peyronie’s disease. Urologia. 2021 May;88(2):79-89. doi: 10.1177/03915603211005326. Epub 2021 Mar 30. PMID: 33781136.
3. Hayat S, Brunckhorst O, Alnajjar HM, Cakir OO, Muneer A, Ahmed K. A systematic review of non-surgical management in Peyronie’s disease. Int J Impot Res. 2023 Sep;35(6):523-532. doi: 10.1038/s41443-022-00633-w. Epub 2022 Oct 26. PMID: 36289392; PMCID: PMC10499596.
4. Valenzuela R, Ziegelmann M, Tokar S, Hillelsohn J. The use of penile traction therapy in the management of Peyronie’s disease: current evidence and future prospects. Ther Adv Urol. 2019 Mar 29;11:1756287219838139.
5. Razdan S, Zisman A, Valenzuela R. Scrotal approach for tunica expansion procedure (TEP) for penile girth and length restoration during penile prosthesis implantation in patients with penile angulation due to Peyronie’s disease and erectile dysfunction: technique and outcomes. Int J Impot Res. 2024 Apr;36(2):146-150.
6. Weinberg AC, Pagano MJ, Deibert CM, Valenzuela RJ. Sub-Coronal Inflatable Penile Prosthesis Placement With Modified No-Touch Technique: A Step-by-Step Approach With Outcomes. J Sex Med. 2016 Feb;13(2):270-6. doi: 10.1016/j.jsxm.2015.12.016. Epub 2016 Jan 21. PMID: 26805939.