Surgical management of Peyronie’s disease: Which operation?

Multiple treatment options are currently available for Peyronie’s disease (PD) and include minimally invasive interventions. Surgical treatments are considered the best option when the plaque proves refractory to these treatments, when penile curvature is severe, or when erectile dysfunction is vascular or mechanical. Most surgeons experienced in surgical management of PD use a wide range of procedures including plication procedures, plaque incision/excision with grafting, or implantation of a penile prosthesis. This article assesses the indications for surgery, the various surgical procedures available, when and to whom surgery should be offered, and the expected results and complications.