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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
(GRAPHIC) Complex Penile Surgery: Plication, Grafting, and Implants
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<blockquote data-quote="madman" data-source="post: 230597" data-attributes="member: 13851"><p><strong>KEY POINTS</strong></p><p></p><p><em><strong>*Penile plication may be used in patients with a wide range of curvature, including severe (>60°) or multiplanar deformity, but it is not applicable in patients with hourglass deformity, severe penile shortening, and large ossified plaques</strong></em></p><p><em><strong></strong></em></p><p><em><strong>*Plaque incision (or excision) and grafting of the tunica albuginea may be used in all patients with complex Peyronie’s disease, but decision-making should consider the risk-benefit ratio in light of a higher rate of de novo erectile dysfunction</strong></em></p><p> </p><p><em><strong>*Penile implant surgery with plication or grafting effectively restores function in patients with concomitant Peyronie’s disease and erectile dysfunction</strong></em></p><p> </p><p><em><strong>*In the setting of severe corporal fibrosis, placement of a penile implant may be facilitated via dilation with cavernotomes, use of a counter incision with or without minimal scar tissue extraction, transcorporal scar resection, and wide scar excision with or without tunical grafting</strong></em></p><p><strong><em> </em></strong></p><p><strong><em>*When erectile dysfunction or tunica albuginea fibrosis is associated with superficial penile tissue loss from injury, ischemia, infection, or prior surgical complications, flaps should be used preferentially to achieve staged soft tissue coverage to the penile shaft and glans in anticipation of eventu</em></strong><em><strong>a</strong></em><strong><em>l implant surgery</em></strong></p></blockquote><p></p>
[QUOTE="madman, post: 230597, member: 13851"] [B]KEY POINTS[/B] [I][B]*Penile plication may be used in patients with a wide range of curvature, including severe (>60°) or multiplanar deformity, but it is not applicable in patients with hourglass deformity, severe penile shortening, and large ossified plaques *Plaque incision (or excision) and grafting of the tunica albuginea may be used in all patients with complex Peyronie’s disease, but decision-making should consider the risk-benefit ratio in light of a higher rate of de novo erectile dysfunction[/B][/I] [I][B]*Penile implant surgery with plication or grafting effectively restores function in patients with concomitant Peyronie’s disease and erectile dysfunction[/B][/I] [I][B]*In the setting of severe corporal fibrosis, placement of a penile implant may be facilitated via dilation with cavernotomes, use of a counter incision with or without minimal scar tissue extraction, transcorporal scar resection, and wide scar excision with or without tunical grafting[/B][/I] [B][I] *When erectile dysfunction or tunica albuginea fibrosis is associated with superficial penile tissue loss from injury, ischemia, infection, or prior surgical complications, flaps should be used preferentially to achieve staged soft tissue coverage to the penile shaft and glans in anticipation of eventu[/I][/B][I][B]a[/B][/I][B][I]l implant surgery[/I][/B] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
(GRAPHIC) Complex Penile Surgery: Plication, Grafting, and Implants
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