Plaque incision and grafting surgery for peyronies disease

Introduction What is Plaque Incision and Grafting Surgery Indications for Surgery The consultation The Surgery Recovery and Post-Operative Care Risks and Complications Conclusion

Introduction:

Plaque incision and grafting surgery is a surgical procedure used to treat Peyronie's Disease, a condition characterized by the formation of scar tissue (plaque) inside the penis. This surgery aims to correct penile curvature, restore function, and improve quality of life for individuals with Peyronie's Disease.

What is Plaque Incision and Grafting Surgery?

Plaque incision and grafting surgery is a type of penile reconstructive surgery performed to address the curvature and deformity caused by Peyronie's Disease. During the procedure, the surgeon makes incisions in the plaque, removes the scar tissue, and then reinforces the penis with a graft of healthy tissue to straighten it. The advantage of plaque incicion and grafting surgery over other methods ,such as the Nesbit procedure, is that the length of the penis is spared, whereas in the Nesbit procedure the penis is left shorter.

Indications for Surgery:

Plaque incision and grafting surgery may be recommended for individuals with Peyronie's Disease who have a marked penile curvature and who wish to protect their penis length. In many cases sexual intercourse is difficult due to the angle of the curature being very pronounced. These are usually suitable cases for this procedure. In mild cases of peyronies disease, more conservative treatments can be offered.

The consultation:

Before surgery, the patient will undergo a thorough consultation with our Urologist, Dr Nenad Djakovic. This consultation is usually done with the benefit of several photos of the penis in full erection. This consultation will establish of plaque incision and grafting surgery is the best option for the patient

The Surgery :

This surgery is performed under general anaesthetic and will take around two hours

The surgeon makes one or more incisions along the length of the penis to access the plaque , following a de-gloving of the penile skin.

The scar tissue (plaque) causing the curvature is carefully dissected and removed.

After removing the plaque, the surgeon places a graft of healthy tissue in the tunica albuginea, the fibrous tissue layer of the penis.

The graft serves to support and reinforce the penis, straightening it and correcting the curvature.

Once the graft is securely in place, the surgeon closes the incisions with sutures and the penile skin is placed back into position.

You are able to go home on the same day as the procedure in most cases.

Recovery and Post-Operative Care:

Patients should arrange to take about one week of work after the operation.

You will be discharged from hospital with antibiotics and pain relief medication.

Swelling and bruising are common after this procedure and usually subside within a few weeks.

Patients are advised to avoid sexual activity and strenuous activities for six weeks after surgery

Follow-up appointments with Dr Djakovic  will be scheduled to monitor healing over the following weeks.

Risks and Complications:

Most patients who undergo plaque incision and grafting surgery do so without any complications. However, just like all surgical pocedures,  it also carries risks, including:

Infection

Bleeding

Erectile dysfunction

Changes in sensation

Recurrence of curvature

This surgery at Moorgate Andrology has a very high satisfaction rate

Conclusion:

Plaque incision and grafting surgery is a surgical option for individuals with Peyronie's Disease who have significant penile curvature and related symptoms. It aims to improve penile function, restore sexual confidence, and enhance quality of life. If you are considering this surgery, it is essential to consult with our urologist, Dr Nenad Djakovic, so that your peyronies disease can be assessed and recommendations given. It should be noted that this procedure can only be performed when the disease is in the chronic, sometimes called, stable phase. This will usually mean a period of six to twelve months will have elapsed with no change in the curvature for the previous three months.. It can be helpful to take photos of the penis each month to monitor the procedures of the disease.