Peyronie tunica albuginea

Akkus E, Carrier S, Baba K et al (1997) Structural alterations in the tunica albuginea of the penis impact of Peyronie s disease, ageing and impotence. Br J Urol 79 47-53... 

Brock G, Hsu GL, Nunes L et al (1997) The anatomy of the tunica albuginea in the normal penis and Peyronie s disease. J Urol 157 276-281... 

Hirano D, Takimoto Y, Yamamoto T et al (1997) Electron microscopic study of the penile plaques and adjacent corpora cavernosa in Peyronie s disease. Int J Urol 4 274-278 lacono F, Barra S, De Rosa G et al (1993) Microstructural disorders of tunica albuginea in patients affected by Peyronie s disease with or without erection dysfunction. J Urol 150 1806-1809... 

Peyronie s disease is characterized by formation of fibrous tissue plaques within the tunica albuginea causing penile pain, deformity, and shortening. As illustrated in Chapter 7, the diagnosis is based on medical history, autophotography, and a clinical examination with plaque palpation. Ultrasound and other imaging modalities are confirming and allow accurate evaluation of disease extent and assessment of associated erectile dysfunction. 

Fig. 8.2. Patient with Peyronie s disease presenting with severe penile shortening and erectile dysfunction. No significant penile bending was appreciable. Grey-scale ultrasonography shows diffuse thickening of the entire tunica albuginea (arrowheads)...

Fig. 8.11. Magnetic resonance imaging appearance of Peyronie s disease. Parasagittal T2-weighted image of the penis obtained after intracavernosal prostaglandin injection shows penile deformation and diffuse, irregular thickening of the tunica albuginea...

Fig. 16.3. Residual plaque in a patient with Peyronie s disease who had undergone saphenous vein grafting. The patch (arrowheads) appears less echogenic than the adjacent tunica albuginea. Sutures are visible as hyperechogenic dots. The residual plaque (open arrows) is visible as a localized thickening of the tunica albuginea with a coarse calcification...

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