Peyronie's disease : endocavernous plaque excision without substitutive graft : critical 5-year experience

Objective. in 2004 the polish colleague Darewicz published his surgical experience of endocavernous plaque excision avoiding the use of any substitutive graft. Attracted by the extreme simplification in this new technique, we decided to verify such a surgical approach. Material and methods. the separation of the plaque from overlying albuginea is performed with scissors or scalpel. Once the plaque is removed, the cavernous incision is sutured and the correct straightening is verified. In 5 years we selected 18 cases of stabilized disease and preserved erection geometrically disturbed by the severe deformity. Results. we obtained in all cases substantial straightening, even if in 2 cases we added a complementary minimally invasive surgery in form of plication, and 2 cases were converted in graft technique. Conclusions. case study and current controls allow us to say the impression is quite good, without the necessity of autologous tissue or heterologous matrices to be inserted, allowing a more comfortable post-operative course and a faster and easier functional recovery.