Surgical treatment of Peyronie’s disease

Peyronie’s disease may present itself differently why the implementation of a correct diagnosis is of great importance to be able to give the correct treatment recommendation. Especially with regard to the surgical possibilities one should be advised in detail.

Peyronie’s disease inevitably causes a functional length loss of the penis and therefore negatively impacts the psychosexual well being of the patient. In many cases, the affected men experience complications with penetration and sexual relations are being avoided.
Early treatment can help stopping a negative development of the disease. If a full straightening is not possible through conservative treatment, surgery should be considered.

Thanks to surgical treatment it is possible to regain a life unaffected by the limitations of Peyronie’s disease. Keep that in mind, if you reject the thought of an operation or feel afraid of it.
If done by experienced hands, the surgical procedure is minimally invasive and desires only a short period of convalescence.

Dr. Kuehhas specializes in the treatment of Peyronie’s disease and played a significant role in the improvement of standardized surgical procedures. Thanks to his expertise, we can offer you excellent conditions for the treatment of Peyronie’s disease.

There are several surgical treatments available for Peyronie’s disease. They all share the goal of fully straightening the penis, while applying different approaches.
Common techniques (such as the Nesbit procedure) accomplish a straightening of the penis by shortening the longer side of the curvature and adjusting it to the short side of the curvature. The downside to this is a inevitable loss of penis length. Alternatively, there are incisions and grafting techniques (such as Egydio technique) which do not intend to cause a shortening of the penis.
If Peyronie’s disease has already progressed further, it is often accompanied by erectile dysfunction. Only straightening the penis will not bring the desired outcome as an erectile dysfunction remains even after surgery. In these cases, a penile prosthesis implantation should be taken into consideration.

Depending on the severity of your Peyronie’s disease one of the following surgical techniques can be selected:

• Incisions and grafting techniques: straightening of the penis, while maintaining or restoring length
• Nesbit procedure: straightening of the penis with subsequent loss of penis length
• STAGE technique: modification of the Nesbit procedure
• Penis straightening with a concomitant penile prosthesis implantation

As with every surgical procedure, an in-depth consultation to discuss risks and side effects of a surgical treatment should be held before making any decisions. We will gladly support you during the decision-making process.

Dr Franklin Kuehhas is a medical specialist in the field of urology and andrology. He received his specialization training at the University College London. He also underwent his training at the prestigious University Hospital in Heidelberg (Germany) and at the University Hospital of Vienna (Austria). Dr Kuehhas focuses on the treatment of congenital and acquired penile curvatures (Peyronie’s disease). His research activities have resulted in many publications and improvements of surgical techniques such as the STAGE technique for penile curvature treatment.