Surgical Techniques and Pitfalls for Excision and Grafting

Abstract

To highlight the surgical techniques of Peyronie plaque excision with grafting technique. We also sought to help the surgeon with important aspects of pre-operative and post-operative counseling. The pre-operative discussion is imperative in setting expectations and goals of care. The ideal graft has yet to be developed, but improvements have been made with decreased risks of infection and contracture rates. We have learned that Peyronie’s disease is still a surgically treatable disease. Excision and grafting is a complex procedure, but with an appropriate technique, complex curvatures can be managed in trained hands. Patient selection is imperative in deciding whether concomitant penile prosthesis should be placed. Graft choice is left up to the operating surgeon, but use of non-autologous grafts appears to be increasing.