Erectile Dysfunction Reconstructive surgery for Peyronie's disease provides a successful outcome for the majority of men presenting with disabling penile curvature. Most of the above items can be evaluated during the history and physical examination.
Photographs obtained by the patient are also very helpful.
Assessment of erectile function is integral to this process, as studies have clearly shown a relationship between preoperative erectile function and postoperative results following dermal graft inlay procedures. We obtain NPT testing and a duplex ultrasound to obtain objective information about erectile function prior to surgery. The ultrasound also allows one to directly visualize erectile configuration and to look for any collateral vessels from the dorsal artery of the penis to the cavernosal system, as these could be damaged during mobilization of the neurovascular bundles. Modified corporoplasty involves operating on the tunica albuginea opposite the curvature, creating longitudinal tunical incisions which are closed transversely. This results in excellent penile straightening with minimal to no effect on sensation or erectile function.