Reconstructive surgery may be considered, in selected cases, for the treatment of penile curvature associated with erectile dysfunction, after individualized clinical evaluation.
When Peyronie’s disease causes erectile dysfunction, progressive penile deviation, together with difficulties during intimacy, begins to interfere with confidence and with how a man sees himself.
If changes in penile rigidity or curvature persist, even after oral therapy, it may be appropriate to proceed with clinical reassessment in order to consider other therapeutic approaches, according to the characteristics of the case.
Why do Peyronie’s disease and erectile dysfunction occur together?
Peyronie’s disease and erectile dysfunction often occur together because they have a direct relationship: structural and vascular changes in the penis may compromise penile anatomy and erectile response, depending on the severity of penile fibrosis.
Fibrotic plaque as an obstacle
The development of fibrotic plaques causes the tissues of the tunica albuginea to progressively lose the elasticity required for a firm and functional erection.
In some cases, even when an erection occurs, the rigidity obtained may not be sufficient to allow sexual intercourse with adequate functionality.
The phenomenon of “venous leak”
In Peyronie’s disease, structural changes in the tunica albuginea caused by fibrosis may compromise the functioning of the veno-occlusive system in some cases. As a result, the erection may appear but disappear quickly.
In these cases, blood enters but is not properly retained in the corpora cavernosa. Therefore, even with adequate sexual stimulation or the use of oral medication, the erection is not sustained over time.
Loss of support and penile “buckling”
When fibrosis significantly affects the tunica albuginea, the erection loses stability, creating areas of lower rigidity that favor penile “buckling.”
In these cases, penetration may become difficult or even impossible, and may cause pain for the man himself as well as discomfort for his sexual partner.
Combined treatment: Penile implant with reconstructive technique
In situations of Peyronie’s disease associated with severe erectile dysfunction, surgical treatment may be considered as one of the therapeutic approaches, according to the clinical evaluation and the patient’s functional condition.
In this type of approach, reconstructive techniques and penile implant placement may be combined, with planning adapted to the anatomy and clinical needs of each patient.
The goal of treatment is to improve penile alignment and sexual function, within the anatomical and clinical limits of each case.
The risk of placing only the implant
Although a penile implant may improve rigidity, its isolated use may not correct, in all cases, the functional limitations associated with penile deformity.
This happens because the penile implant alone may not correct deformities associated with fibrosis, namely changes in penile alignment and, in some cases, limitations related to length or girth.
The result may be a penis with support but still curved, maintaining difficulty with penetration. The lack of fibrosis correction may also cause discomfort during intimacy and generate dissatisfaction, even after surgery.
The Egydio Technique for dimensional preservation
The Egydio Technique allows longitudinal and/or transverse incisions, carefully planned, to be made in the tunica albuginea, enabling controlled expansion before implant insertion.
In some cases, this procedure may allow better preservation or recovery of penile dimensions, within the anatomical and clinical limits of the case.
This process aims to create more favorable anatomical conditions for implant placement, while seeking to respect penile structures and the functional goals defined for each case.
Inflatable vs. malleable implants
Inflatable implants and malleable implants may treat erectile dysfunction, but they differ mainly in the way they reproduce the flaccid and erect states.
With malleable implants, the penis maintains a stable consistency, with the possibility of positioning. Inflatable implants, on the other hand, allow greater variation between the flaccid and rigid states, according to their mechanism of operation.
If you live in Portugal and would like a specialist opinion, our clinic team provides a channel for asking questions online. You may submit your case in a safe and confidential way.
Advantages of choosing our clinic for your surgery
When evaluating a surgical approach, factors such as the clinical experience of the team, the appropriateness of the therapeutic indication, and the follow-up provided to the patient may be relevant.
Dr. Paulo Egydio provides personalized care, plans each surgery individually, focusing on patient safety and penile functionality, and follows the man until his full recovery.
Maximizing penile length and girth
The priority of the surgical team is the expansion of the tunica albuginea, with the aim of providing gains in length by releasing longitudinal retraction and an increase in girth through the expansion of the internal circumference, reversing the typical shortening of this condition.
Experience in complex cases and revision surgeries
In more complex cases, in which Peyronie’s disease causes erectile dysfunction, or when the man needs a new surgical intervention, whether due to dissatisfaction with the previous result or implant failure, it is possible to rely on the clinic team for the challenge.
Post-operative protocol for patients
After surgery, the patient receives continuous support and guidance from the clinical team.
In addition to in-person medical appointments and telemedicine, it is possible to use complementary therapies, such as penile physiotherapy and vacuum pump use, to optimize functional recovery until safe return to sexual activity.
Restore confidence in your intimate life
Do not settle for a sexual life limited by Peyronie’s disease or by treatments that are not appropriate for your case.
The combination of advanced surgical technique, experienced professionals, and safe medical decisions may help restore confidence and sexual pleasure. Talk now with our clinic team via WhatsApp and schedule your initial evaluation.
