Depending on the size of the plaque, its location and the presence or absence of related erectile dysfunction, the surgical strategy will be different:
- For a long, flexible penis associated with a curvature < 60° and a distal plaque, treatment of the convexity is possible. Generally, the plaque is left in place and several techniques make it possible to thwart the curvature by exerting an opposing force using suture thread.
- For a short, not very flexible penis associated with a curvature > 60° and a proximal plaque, treatment of the concavity is required. It’s a complex surgical treatment that requires removal of the plaque with placement of a graft. Below are photos of this type of surgery taken in the operating room followed by the testimonial of a patient whose Peyronie’s disease was treated by this excision-grafting surgery.
PATIENT VV : LAPEYRONIE CHIRURGIE D'EXCISION GREFFE
PATIENT VV : LAPEYRONIE avant chirurgie d' excision - greffe
PATIENT VV : LAPEYRONIE dégantage du fourreau de la verge
PATIENT VV : LAPEYRONIE plaque excisée
PATIENT VV : LAPEYRONIE pose de la greffe SIS après excision de la plaque
PATIENT VV : LAPEYRONIE bandelette neuro vasculaire
PATIENT VV : LAPEYRONIE controle de la correction
PATIENT VV : LAPEYRONIE port d'un extenseur de verge 2 mois en post opératoire
PATIENT VV : LAPEYRONIE 3 mois après l'opération : correction totale de la courbure
- In case of significant erectile dysfunction, a penile implant is combined with treatment of the plaque.
Testimonial of a patient who underwent plaque excision + grafting surgery
DESCRIPTION OF THE PEYRONIE’S DISEASE JOURNEY
History of the Disease
September 2011: Sudden arrival of the disease: severe pain and start of the curvature at the glans. Duration of symptoms with worsening curvature: two months from September to late October.
October 2011: Consultation with my referring physician. He determined that I had Peyronie’s disease. He gave me the standard treatment of vitamin E + Colchicine….with a clinical consultation with an urologist in my area who confirmed Peyronie’s disease without being able to do anything!!!!!
I remained with my problem and ineffective medication for 12 months.
Below are photos of the state of my penis at 13 months with an offset curve with an increase in two directions (over 80° upwards and 40° on the side)
Strong curvature of the penis, inability to have sex and extreme difficulty urinating.
Resulting from this situation:
– At least 40% loss in erection strength
– 3 cm reduction in penis length.
Assessment of my state by Doctor Marc Galiano in line with my referring physician from November 2012. For final operation decision in March 2013.
After the operation on 4 March 2013 with one month for healing and rest before beginning implementation of the Andropenis equipment.
Below are the different phases with the Andropenis:
From 1 to 30 April 2013: placement of the device (holding in position phase).
 Dimension A corresponds the minimum elongation of the Andropenis, i.e. 3.5 cm
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 Andropenis in place
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Held in this position 3 hours per day for 3 weeks.
This period is needed for the patient to get used to putting on and tolerating the Andropenis
It’s a delicate time because the penis is sensitive and keeping it in the device is not
very pleasant.
From 22 April to 30 May: Elongation development phase, with placement of various
0.5 mm rings every week. Device wear time – 5 hours / day
 DIMENSION B = 6.5 cm |
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In reality, the penis was lengthened by 1.5 cm as of 19 May 2013.
 Dimension of 3 cm of rings on 30 May 2013
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 Stretching the penis with 3 cm of rings
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IMPORTANT NOTE: 2 DAFALGAN capsules need to be taken to improve the wearing comfort of the Andropenis. (stretching pains at the glans)
SITUATION on 10 June 2013: 3 months after the operation (photos of the state of the Penis)
 Penis in flaccid state front view |
 Penis in flaccid state side view |
Erect penis after surgery after 3 months with a length of 11 cm, i.e. a loss of 5 cm compared to the original and before Peyronie’s disease.
 Erect, 3 1/2 months after surgery |
 Erect, 3 1/2 months after surgery |
I hope the Andropenis will help me regain a final length of 13 cm.