Peyronie disease: plication or grafting.

Peyronie disease (PD) is an incurable, sexually debilitating disease resulting in penile deformity, coital failure, and significant psychological stress for patients and their partners. Appropriate treatment should be individualized and tailored to the patient's goals and expectations, disease history, physical examination findings, and erectile function. After medical therapy is considered and the disease has stabilized, surgical correction, including tunical shortening or lengthening procedures, is an excellent option for patients with functional impairment caused by PD. Outcomes are satisfactory when proper treatment decisions are made, with the goal being expected return to normal sexual function following PD treatment. 2011 Elsevier Inc. All rights reserved.