ABSTRACT

Significant penile deformity due to Peyronie’s disease may lead to severe functional limitations and psychologic trauma. Often, the plaque may lead to penile curvature, shortening and/or malconfigurations (hourglasses, indents) that cannot be addressed with simple plication procedures. In these complex cases, plaque incision or excision combined with placement of a graft allows for reclamation of some of the lost penile length and girth. In addition, this procedure can be tailored to correct a variety of plaque-induced malconfigurations of the penis.