We report our experience with unusual cases of Peyronie´s disease concurrent with venogenic impotence. There patients have suffered from distressful sexual life including painful erection, penile curvature and poor penile tumenscence. Following
multidisciplinary work-ups for impotence in those patients, it proved to be that they had venogenic impotence as well as Peyronie´s disease. Since intrapenile triamcinolone injection therapy did not improve their symptoms, a single-staged,
surgical
procedure was performed to resolve problems with Peyronie´s disease and venogenic impotence at a time in each patients. It was proceeded with ligation of penile vein, excision of the fibrous plaque and replacement with dermal graft, respectively.
In a
patients, additional Nesbit´s procedure was required to correct sustained penile curvature. Postoperative follow-up for 2 years shows that all the patients have remained free from serious problem in their sexual life. We believe that above
single-staged
operation is worth application to the case of Peyronie´s disease concurrent with venogenic impotence.
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