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Peyronie's Disease
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===== Indications ===== * '''Indications for surgical intervention in Peyronie’s disease (4):''' *# '''<span style="color:#ff0000">Stable disease (defined by AUA as disease that is ≥ 1 year from onset and ≥3-6 months of stable deformity)</span>''' *#* '''CUA considers stable disease after 6-12 months after disease onset and ≥3-6 months of stable deformity''' *#* The surgical literature focuses almost entirely on patients with stable disease; outcomes for patients with active disease are not known. *#* Although pain is associated with acute phase, '''surgery may be considered even in the presence of pain''' if persistent penile pain during erection is related to penile deformity. *# '''<span style="color:#ff0000">Deformity that compromises sexual intercourse</span>''' *# '''<span style="color:#ff0000">Failure of non-surgical therapy</span>''' *#* It is not incorrect to bypass medical management and proceed straight to surgery; however, the patient must clearly be aware and have consented to the potential treatment side-effects of surgery. *# '''<span style="color:#ff0000">Desire for most rapid and reliable result</span>'''
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