Penile Curvature – Incision Grafting

Plaque Surgery for Peyronie's Disease

In Peyronie's disease, inelastic fibrous tissue is deposited on the walls (tunica albuginea) of the erection cylinders (corpora cavernosa). The fibrous tissue deposits are called "Peyronie's Plaques". Peyronie's plaques cause penile curvature and shortening.

plaque

In men having moderate to severe penile curvature but with good erection, the plaque may be incised or removed all together.

excision

This leaves a gap that must be filled; "grating". A graft is a piece of tissue that is applied to fill up the gap.

graft

This is a one-day surgery, requiring hospital stay for only a few hours. The patient is mobile the same day of surgery.

Success rate and outcome:

Removing the plaque will usually straighten the penis and restore length to a fair extent. The outcome is satisfactory in 70% of cases.

In 30%, the following complications may occur:

  • Contraction of the graft, leading to some degree of recurrence of curvature. Recurrence up to 30 degrees is acceptable since it will not hinder intercourse.
  •  Some decrease in the sensitivity of the penis may occur, but it commonly reverts to normal in most patients, in a few months
  • Erectile dysfunction may occur in 30% of cases. If this happens, medical treatment for erectile dysfunction may be started. If the patient does not respond, a penile implant will restore excellent erection.