Use of Himplant® for Correction of Residual Deformity Following Prior Treatment of Peyronie’s Disease: A Case Series

Over the years, numerous non-surgical and surgical treatment options have been explored for Peyronie’s disease (PD). Current options may result in incomplete correction of the deformity, which can be bothersome to the patient. This is a two-center case series of three patients who had previously undergone treatment for PD. Patient data was collected, including demographics, PD characteristics, previous treatments, and outcomes. Patient 1 underwent plication with extratunical grafting. Patient 2 underwent a series of Xiaflex injections and then subsequent plication for residual curvature. Patient 3 underwent a series of Xiaflex injections. The Himplant® subcutaneous silicone penile prosthesis was placed in a standardized manner in all cases. Follow-up evaluation was conducted to assess the effectiveness and patient satisfaction following the Himplant® procedure and to report on associated complications. Our case series demonstrates the potential effectiveness and benefits of using Himplant® to correct residual penile deformity and enhance penile girth in patients after PD treatment. Based on our limited experience, we would consider offering Himplant® implantation when the residual curvature is < 40° and the penile indentation does not cause instability/buckling during penetrative sexual activity. Further research and larger studies are warranted to validate these findings and assess long-term outcomes and patient-reported satisfaction.