✦ Peyronie's Disease Treatment

Plaque Incision / Excision + Grafting

Q: What type of graft is used?

Autologous dermis, bovine or equine pericardium, cadaveric pericardium, and synthetic grafts are all used; autologous grafts have the lowest rejection risk.

Q: Will my erections be worse after grafting?

Erectile function may worsen in 10–20% of patients after grafting due to tunica manipulation; men with pre-existing ED may need a prosthesis implanted simultaneously.

Q: How long before sexual activity after graft surgery?

Sexual activity is avoided for 6–8 weeks to allow graft integration; full functional recovery typically takes 3–6 months. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Plaque Surgery with Grafting for Severe Peyronie's Curvature

120–180 min PROCEDURE

Day Care / 1 Day HOSPITAL STAY

>85% SUCCESS RATE

4–6 Weeks RECOVERY

What is Plaque Incision / Excision + Grafting?

Plaque Incision or Excision with Grafting corrects severe penile curvature in Peyronie's disease by incising or excising the plaque (on the concave/shorter side) and patching the defect with a graft material to restore penile length and correct curvature. Graft materials include autologous dermis, venous patch, pericardium, or synthetic grafts. This approach is preferred for severe curvature (>60 degrees), complex deformities (hourglass or hinge effect), or men with significant penile shortening who cannot afford further length loss. The procedure is performed under general or spinal anaesthesia with a hospital stay of Day Care / 1 Day.

Men with stable Peyronie's disease, severe curvature >60 degrees, complex deformity (hourglass/hinge), or those who cannot accept the penile shortening associated with plication procedures. Patients must be adequately fit for anaesthesia and free from active systemic infection before proceeding.

How the Procedure Works

Degloving & Assessment

Penile degloving; artificial erection created; curvature measured and documented precisely.

Plaque Incision or Excision

Plaque identified on the concave (shorter) side; incision or partial excision performed to release the contracture.

Curvature Correction Confirmation

Artificial erection repeated; residual curvature assessed and tunica opened further as needed.

Graft Application

Graft material (autologous dermis, bovine pericardium, or synthetic) sutured to the tunica defect.

Final Assessment & Closure

Artificial erection confirms straightening; wound closed; catheter placed.

Outcomes

120–180 minDURATION

Day Care / 1 DayHOSPITAL STAY

>85%SUCCESS RATE

4–6 WeeksFULL RECOVERY

Who Needs This Treatment?

→Maintains or improves penile length compared to shortening plication procedures.
→Suitable for severe and complex Peyronie's curvature not manageable with plication alone.
→Restores length lost to plaque contracture on the concave side.
→Over 85% successful straightening in experienced centres.
→Multiple graft options available tailored to patient anatomy and preference.
→Hourglass deformity and hinge defect corrected — issues that cannot be addressed by plication.

"Plaque surgery with grafting gives us the versatility to correct severe and complex Peyronie's disease. By operating on the plaque itself, we can restore length and geometry that plication alone cannot achieve."

— — Dr. Vipin Reddy, Consultant Urologist, Andrologist & Renal Transplant Surgeon

Common Questions

Frequently Asked

What type of graft is used?+

Will my erections be worse after grafting?+

How long before sexual activity after graft surgery?+

Not sure which treatment is right for you?

Book a consultation with Dr. Vipin Reddy and get a personalised treatment plan.

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