Consulted with a relatively young man who has a 67 degree curvature of the penis without known antecedent trauma.  Corporoplasty with Tutoplast cadaveric pericardial graft has been recommended.

However many recent article show that the likelihood of erectile impairment to some degree is about 1/3rd, and about 1/3 of patients will have some degree of penile shortening despite a fairly good curve correcting result.   The option of a penile implant with perfect straightening and probable lengthening versus what the patient has now is an option.  The disadvantage of a prosthesis is perpetual dependency on its function.  The average survival is about 8 years before replacement or revision is needed.  The infection rate is about 3% overall.

If there is concern about progressive erectile impairment as well, the implant seems like a wise choice.

Otherwise,  release of scar with graft insertion makes more sense.  If this operation is not successful, the patient can always fall back on a revision or implant.  Much to think about.

Harold M. Reed, M.D.