RESUMO
We report our experience with unusual cases of Peyronie`s disease concurrent with venogenic impotence. Three patients have suffered from distressful sexual life including painful erection. penile curvature and poor penile tumescence. Following multidisciplinary work-ups for impotence in those patients. it proved be that they had venogenic impotence as well as Peyronie`s disease. Since intrapenile triamcinolone injection therapy did not improve their symptoms. a single-staged, surgical procedure was performed to resolve problems with Peyronie`s disease and venogenic impotence at a time in each patient It was proceeded with ligation of penile vein. excision of the fibrous plaque and replacement with dermal graft respectively. In a patient. additional Nesbit`s procedure was required to correct sustained penile curvature. Postoperative follow-up for 2 years shows that all the patients have remained Free from serious problem in their sexual life. We believe that above single-staged operation is worth application to the case of Peyronie`s disease concurrent with venogenic impotence.