[Lapeyronie’s disease].

Lapeyronie's disease. Lapeyronie's disease is a common condition responsible for an acquired penile curvature due to a fibrous albugineal plaque, affecting 3.4 to 9% of the male population. Its pathophysiology is still controversial. Medical treatments are ineffective. Intralesional Clostridium Histolyticum collagenase is the first non surgical option that allows a curvature improvement. Surgery should be proposed when the curvature is stabilized and responsible for a sexual handicap. The treatment of the concavity or convexity depends on the size of the erect penis, its curvature angle and erectile function. Penile implant must be proposed to patients when erectile dysfunction is combined with severe curvature.