Peyronie's Disease

Plaque Incision and Grafting for Peyronie's Disease

The Plaque Incision and Grafting procedure, performed by Prof. Ates Kadioglu, is a surgical approach designed to correct Peyronie's disease while preserving penile length. This technique is favored for its ability to maintain the penis's original size compared to other procedures that may result in shortening. The Nesbit Procedure is a surgical intervention primarily employed to address Peyronie's disease. This surgical approach aims to rectify penile curvature and improve overall comfort during sexual intercourse.


Preserving Penile Length:

Unlike some procedures, such as the Nesbit technique, which can leave the penis shorter, the Plaque Incision and Grafting surgery aim to straighten the penis while safeguarding its length. This surgery addresses both the curvature and potential effects on erections.


Surgical Approach:

The Plaque Incision and Grafting method employ a synthetic graft or patch to stimulate the formation of new collagen within the penile tissues, ensuring a straightened appearance. Unlike the Nesbit procedure, where incisions are made on the longer side of the penis, this technique involves incisions on the shorter side, creating space for the graft.


Preservation and Recovery:

This surgical procedure restores penile straightness while protecting its length. It's important to acknowledge that any alteration to the penis will result in permanent changes. However, Plaque Incision and Grafting surgery allows patients to address penile curvature while preserving length to the greatest extent possible. Full recovery typically takes around six weeks, during which sexual activity should be avoided. Most patients can return to work within a few days, but strenuous and athletic activities are best avoided during the six-week recovery period.

Hospital Stay and Follow-Up:

Patients usually spend one day in the hospital, and follow-up appointments are typically scheduled within 7-10 days. After six weeks, sexual intercourse can be resumed. However, the timeline may vary based on individual cases and medical guidance.


Important Pre-Surgery Considerations:

Before undergoing any Peyronie's disease surgery, it's essential to thoroughly discuss all potential risks and benefits with your surgeon. Additionally:

  • Consult your doctor about medication use and doses, especially if you take drugs for conditions like diabetes, hypertension, heart disease, or COPD. Blood thinners typically need to be discontinued before surgery, so inform your doctor if you're on such medications.
  • If you experience symptoms like fever, rash, or a cold shortly before the surgery, notify your doctor, as surgery is usually postponed in such cases.

Preparing for Surgery


On the day of the surgical procedure

  • Abstain from eating or drinking for at least six hours before surgery.
  • It's recommended to take a bath the night before or on the morning of the surgery, but avoid cleaning the hair in the surgical area at home.
  • Bring essential documents, prescribed medications, and personal items in a bag while leaving jewelry and valuables at home.

On the Surgery Day

Several steps will be taken on the surgery day:

  • Hospitalization procedures will confirm your personal information.
  • Afterward, you'll be directed to the relevant service accompanied by hospital staff.
  • Your vital signs, such as blood pressure, pulse, and body temperature, will be measured upon settling into your room.
  • Discussions about anesthesia options will occur, and your approval will be sought for the chosen type.
  • You'll be provided with a one-piece operating room gown to wear just before the surgical procedure.
  • The surgical procedure will take place in a sterile, scientifically compliant operating room, with a team comprising your surgeon, an operating room nurse, an anesthesiologist, and an anesthesia technician.

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After the Surgery

Following penile curvature surgery:

  • The surgical area will typically be covered with sterile bandages and dressings, and some initial swelling or redness may occur.
  • Keep the incision area clean and dry by washing your hands before touching it.
  • If you experience severe swelling, pain, bleeding, or discharge at the incision site, consult your doctor.
  • Patients are usually scheduled for wound healing follow-ups within 7-10 days and can resume sexual activity after six weeks, though this timeline may vary based on your doctor's recommendations.

Technologies

Our Advanced Techniques for Peyronie

The Nesbit and Plication Technique for Peyronie

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Plaque Incision and Grafting Technique for Peyronie

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Penile Implant for Peyronie

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