Peyronie’s disease graft surgery is a surgical procedure performed to treat Peyronie’s disease, a condition characterized by the development of fibrous scar tissue or plaque within the penis. This scar tissue causes the penis to bend or curve during an erection, leading to pain, difficulty with sexual intercourse, and potential psychological distress. Graft surgery is one of several treatment options available for individuals with Peyronie’s disease.
During Peyronie’s graft surgery, the surgeon aims to correct the curvature of the penis by removing the scar tissue and then reconstructing the affected area with a graft or patch of tissue. The graft serves to fill in the depressed or indented area caused by the fibrous plaque, resulting in a straighter erection. The choice of graft material may vary depending on the surgeon’s preference and the specific requirements of the patient.
There are different types of graft materials used in Peyronie’s graft surgery, including:
Autologous grafts: This involves using tissue from the patient’s own body as the graft material. Common sources include the patient’s own vein, such as the saphenous vein taken from the leg, or a section of the graft taken from the patient’s own tunica albuginea (the fibrous tissue surrounding the corpora cavernosa in the penis).
Allografts: Allografts involve using graft material from a donor, usually a cadaveric source. These grafts are thoroughly processed and screened to minimize the risk of rejection or disease transmission.
Synthetic grafts: Synthetic materials, such as expanded polytetrafluoroethylene (ePTFE), dermal matrix, or commercially available graft materials, may also be used as substitutes for autologous or allografts.
The surgical procedure generally involves making an incision over the affected area, typically along the side of the penis opposite to the plaque. The surgeon carefully dissects the scar tissue, removes it, and then places the graft material to fill the defect. The graft is secured in place using sutures or other techniques, and the incision is closed.
Peyronie’s graft surgery is typically performed under general or regional anesthesia, and the duration of the procedure can vary depending on the complexity of the case.
While Peyronie’s graft surgery aims to correct penile curvature and improve sexual function, it is important to note that the procedure carries potential risks and complications. These may include infection, bleeding, graft rejection, erectile dysfunction, decreased penile sensation, and the possibility.