Residual penile curvature correction by modeling during penile prosthesis implantation in Peyronie's disease patients

With the advent of new surgical techniques to treat Peyronie's disease with concomitant erectile dysfunction, there remains a question of whether manual modeling (MM), an older technique, still has a place in the treatment algorithm within penile prosthesis (PP) surgery. While the implantation of a PP often corrects moderate to severe curvature, penile curvature can remain greater than 30 degrees, even when concurrent MM is performed during prothesis implantation. There are new variations of the MM technique that have been recently utilized in the intraoperative and postoperative setting to achieve penile curvature less than 30 degrees when the implant is fully inflated. The inflatable PP, regardless of the specific model of choice, is preferred over the noninflatable PP when utilizing the MM technique. MM should be the first line of treatment for persisting intraoperative penile curvature after the placement of a PP due to its long-term efficacy, noninvasive approach, and significantly low risk of adverse effects.

Automated summary

The question of whether manual modeling (MM), an older technique, still has a place in penile prosthesis (PP) surgery for Peyronie's disease with erectile dysfunction arises with the advent of new surgical techniques. Even with concurrent MM during implantation, penile curvature can still be greater than 30 degrees despite the correction provided by the PP. Recently, new variations of the MM technique have been utilized to achieve penile curvature less than 30 degrees when the implant is fully inflated. The long-term efficacy, noninvasive approach, and significantly low risk of adverse effects make MM the first line of treatment for persisting intraoperative penile curvature after PP placement.