Garaffa G, Bettocchi C, Christopher N, Ralph D
Plexiform Neurofibroma of the Penis Associated with Erectile Dysfunction due to Arterial Steeling. [JOURNAL ARTICLE]
J Sex Med 2007 Oct 24.
Introduction. Solitary involvement of the genitourinary tract by Von Recklinghousen disease (VRD) is extremely rare. Aims. This report documents the management of a case of a plexiform neurofibroma on the penile shaft associated with erectile dysfunction. The literature surrounding VRD and its effects on the genital area was also investigated. Methods. After a complete preoperative investigation of the nature of the mass and of the erectile dysfunction, the neurofibroma was completely excised with preservation of the neurovascular bundle.
Results. At 6-months postoperative follow-up, there was no sign of tumor recurrence and the glans sensation was maintained. The erectile dysfunction persisted postoperatively and failed to respond to medical treatment.
Conclusions. A complete excision of penile neurofibromas is mandatory to prevent recurrence or malignant degeneration and can be safely performed preserving the neurovascular bundle.
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