PDF(Pubmed)
Abstract：
UNASSIGNED: Peyronie\'s disease is the disease that results in an alteration in the curvature of the penis, which can lead to a shortening of length, pain in erection, or difficulties in penetration, thus leading the patient to psychological alterations due to loss of functionality such as aesthetic alteration. That is why there are several studies to define the best form of treatment, which currently continues to be the first choice surgical treatment.
UNASSIGNED: We present the most recommended therapies for Peyronie\'s disease and suggest an algorithm as a guide to direct therapy.
UNASSIGNED: We used the PubMed platform to review the literature related to Peyronie\'s disease. Various editorials were reviewed as well as original articles and reviews focusing on the various treatments as well as their indications and results.
UNASSIGNED: Peyronie\'s disease in which conservative or drug treatment does not have a response, surgical treatment with corporoplasty, penile prosthesis implantation or both may be indicated. Corporoplasty refers to both the plication of the tunica albuginea as well as the incision of the tunica with the placement of a graft. An accurate history should always be carried out to identify erectile dysfunction as well as to be able to guide you on the repercussions of the treatment. If refractory erectile dysfunction is present, placement of a penile prosthesis with or without further adjunctive straightening maneuvers is recommended. We reviewed the indications, advantages, disadvantages, and results of the available techniques, and proposed a surgical treatment algorithm.
UNASSIGNED: Penile shortening procedures are usually indicated in curvatures <60°, in penises with adequate length. Partial excision/incision and grafting are indicated for curvatures >60°, hourglass or hinge deformities, and short penises, if the patient\'s erectile function is adequate. The presence of \"borderline\" erectile function and/or ventral curvature tilts the choice toward shortening procedures, and refractory erectile dysfunction is an indication for penile prosthesis placement. An accurate risk/benefit assessment of the individual patient as well as meticulous patient counseling are critically important.
UNASSIGNED: We present the most recommended therapies for Peyronie\'s disease and suggest an algorithm as a guide to direct therapy.
UNASSIGNED: We used the PubMed platform to review the literature related to Peyronie\'s disease. Various editorials were reviewed as well as original articles and reviews focusing on the various treatments as well as their indications and results.
UNASSIGNED: Peyronie\'s disease in which conservative or drug treatment does not have a response, surgical treatment with corporoplasty, penile prosthesis implantation or both may be indicated. Corporoplasty refers to both the plication of the tunica albuginea as well as the incision of the tunica with the placement of a graft. An accurate history should always be carried out to identify erectile dysfunction as well as to be able to guide you on the repercussions of the treatment. If refractory erectile dysfunction is present, placement of a penile prosthesis with or without further adjunctive straightening maneuvers is recommended. We reviewed the indications, advantages, disadvantages, and results of the available techniques, and proposed a surgical treatment algorithm.
UNASSIGNED: Penile shortening procedures are usually indicated in curvatures <60°, in penises with adequate length. Partial excision/incision and grafting are indicated for curvatures >60°, hourglass or hinge deformities, and short penises, if the patient\'s erectile function is adequate. The presence of \"borderline\" erectile function and/or ventral curvature tilts the choice toward shortening procedures, and refractory erectile dysfunction is an indication for penile prosthesis placement. An accurate risk/benefit assessment of the individual patient as well as meticulous patient counseling are critically important.
摘要：
未经证实：佩罗尼病是导致阴茎弯曲改变的疾病，这会导致长度的缩短，勃起疼痛，或者渗透困难，从而导致患者因功能丧失而发生心理改变，如美学改变。这就是为什么有几项研究来定义最佳治疗形式，目前仍是首选手术治疗。
UNASSIGNED：我们提出了针对Peyronie病最推荐的治疗方法，并提出了一种算法作为指导治疗的指南。
UNASSIGNED：我们使用PubMed平台回顾了与Peyronie病相关的文献。审查了各种社论以及针对各种治疗方法及其适应症和结果的原始文章和评论。
UNASSIGNED：佩罗尼病，其中保守或药物治疗没有反应，用身体成形术进行手术治疗，阴茎假体植入或两者均可。人体成形术是指白膜的折叠以及通过放置移植物来切开白膜。应始终进行准确的病史，以识别勃起功能障碍，并能够指导您治疗的影响。如果存在难治性勃起功能障碍，建议在有或没有进一步辅助拉直的情况下放置阴茎假体。我们回顾了适应症，优势,缺点,以及现有技术的结果，并提出了一种手术治疗算法。
UNASSIGNED：阴茎缩短程序通常以曲率<60°表示，阴茎有足够的长度。部分切除/切开和移植显示曲率>60°，沙漏或铰链畸形，和短阴茎，如果病人的勃起功能是足够的。勃起功能和/或腹侧弯曲的存在使选择朝着缩短程序倾斜，顽固性勃起功能障碍是阴茎假体放置的指征。对单个患者进行准确的风险/收益评估以及细致的患者咨询至关重要。
UNASSIGNED：我们提出了针对Peyronie病最推荐的治疗方法，并提出了一种算法作为指导治疗的指南。
UNASSIGNED：我们使用PubMed平台回顾了与Peyronie病相关的文献。审查了各种社论以及针对各种治疗方法及其适应症和结果的原始文章和评论。
UNASSIGNED：佩罗尼病，其中保守或药物治疗没有反应，用身体成形术进行手术治疗，阴茎假体植入或两者均可。人体成形术是指白膜的折叠以及通过放置移植物来切开白膜。应始终进行准确的病史，以识别勃起功能障碍，并能够指导您治疗的影响。如果存在难治性勃起功能障碍，建议在有或没有进一步辅助拉直的情况下放置阴茎假体。我们回顾了适应症，优势,缺点,以及现有技术的结果，并提出了一种手术治疗算法。
UNASSIGNED：阴茎缩短程序通常以曲率<60°表示，阴茎有足够的长度。部分切除/切开和移植显示曲率>60°，沙漏或铰链畸形，和短阴茎，如果病人的勃起功能是足够的。勃起功能和/或腹侧弯曲的存在使选择朝着缩短程序倾斜，顽固性勃起功能障碍是阴茎假体放置的指征。对单个患者进行准确的风险/收益评估以及细致的患者咨询至关重要。
