MP76-20 USE OF PENUMA® FOR CORRECTION OF RESIDUAL DEFORMITY FOLLOWING PREVIOUS TREATMENT OF PEYRONIE’s DISEASE: CASE SERIES

You have accessJournal of UrologySexual Function/Dysfunction: Surgical Therapy II (MP76)1 May 2024MP76-20 USE OF PENUMA® FOR CORRECTION OF RESIDUAL DEFORMITY FOLLOWING PREVIOUS TREATMENT OF PEYRONIE's DISEASE: CASE SERIES Elsayed Desouky, James J. Elist, and Laurence A. Levine Elsayed DesoukyElsayed Desouky , James J. ElistJames J. Elist , and Laurence A. LevineLaurence A. Levine View All Author Informationhttps://doi.org/10.1097/01.JU.0001009484.98400.42.20AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Over the years, numerous treatment approaches have been explored for Peyronie's disease (PD) including non-surgical and surgical options. Nevertheless, the current options are largely insufficient in effectively correcting residual penile deformities after treatment. Our objective is to evaluate the efficacy of utilizing the subcutaneous silicone penile prosthesis (Penuma®) as a treatment modality for correcting residual penile deformity, including curvature and indentation, and providing penile girth enhancement post-PD treatment. METHODS: This is a two center case series of three patients who had previously undergone various treatments for PD. Detailed data about these patients were collected including their demographics, PD characteristics, previous treatments, and outcomes (see table). These patients previously had different treatments including non-surgical i.e. Xiaflex® and/or surgical options i.e. plication procedure. The placement of Penuma® subcutaneous silicone penile prosthesis was performed in a standardized manner across all cases. Follow-up evaluations were conducted to assess the effectiveness of the procedure and any associated complications. RESULTS: The main findings of the study revealed successful correction of residual penile deformity (curvature, indentation, narrowing) as well as significant improvement in penile girth in all three cases following the placement of the Penuma® subcutaneous silicone penile prosthesis. The procedure resulted in improved sexual function and satisfactory aesthetic outcomes as reported by those patients. No major complications were observed during the follow-up period. CONCLUSIONS: Our case series demonstrates the potential effectiveness and benefits of using Penuma® to correct residual penile deformity and to provide penile girth enhancement in patients post-PD treatment. At this time, we would consider offering Penuma® implantation when residual curvature is less than 40 degrees and indentation does not cause any instability or hinge-effect during penetrative sexual activity. Further research and larger case studies are warranted to validate these findings and assess long-term outcomes and patient-reported satisfaction. Source of Funding: N/A © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1250 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Elsayed Desouky More articles by this author James J. Elist More articles by this author Laurence A. Levine More articles by this author Expand All Advertisement PDF downloadLoading ...