Peyronie's disease, more commonly known as penile curvature, is a condition characterized by an abnormal or exaggerated bend in the penis. While there are surgical solutions to correct this condition, most notably the "Nesbit Procedure", many men are unwilling to undergo this type of treatment due to a shortening of the penis length that generally accompanies it. One of the newer and more advanced surgical methods for treating this condition is through the use of penile tissue grafts.
This type of procedure involves the complete surgical removal of the lump of plaque that develops on the penis due to Peyronie's and is designed to help straighten the penis in order to bring it back to its original shape. This approach is often recommended to patients who have large plaque deposits and severely bent penises. In this procedure, a surgeon removes the affected part of the Tunica Albuginea and replaces the plaque with a graft material of some type.
There are several different types of grafts that can be used to replace lost tissue. The first type is autograft tissue, which is tissue taken from the patient's own body during surgery. This is done to minimize the immunologic response to the graft and to ensure that the patient's body does not reject it.
Surgeons can also use synthetic inert substances, such as Dacron mesh or GORE-TEX instead of living tissue. Unfortunately, these artificial compounds tend to cause more scarring and also fibrosis, which is the formation of excessive connective tissue on the penis.
In some cases, doctors can use xenografts, which are foreign tissues, of human or animal origin. While these are widely available in hospitals, they are also prone to rejection by the body's immune system.
One common problem associated with penile surgical procedures to correct Peyronie's disease is a post-operative contraction that leads to a shortening of penis length. Because of this, it is wise for potential recipients to weigh the pros and cons of these types of surgery before undergoing it.
Another type of treatment for men suffering from Peyronie's disease is penile implants. While penile implants were once a popular recommendation for those suffering from erectile dysfunction, the advent of drugs to treat this condition has made their use less frequent. Implants, however, are still recommended by some physicians to those suffering from extreme curvature and for whom drugs do not help.
Penile implants are plastic cylinders, either solid or inflatable, which are surgically embedded within the Corpora Cavernosa. These cylinders are biocompatible in order to avoid triggering a response of the immune system which causes the body to reject the implants. The surgeon can either place the implants inside the penis and let them do the work of straightening the organ, or they can try to bend the penis against the plaque in order to increase the implants chance of successfully correcting the curvature.
Patients considering these types of invasive procedures should always be cautious. Premature or inadequate surgery has a high rate of failure and recurrence of the disease is possible. While it is true that patients who have undergone successful surgery are usually satisfied with the results, it only takes a single mistake to botch an operation. With penis surgery, there is no going back.
Posted by PRS
Monday, February 19th, 2007
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