Plaque Incision and Grafting (PIG) for Peyronie's Disease

R. Valenzuela, F. Saverio

Peyronie’s disease, penile curvature, plaque incision, grafting

This video demonstrates the surgical correction of Peyronie’s disease using plaque incision and grafting, a technique aimed at restoring penile function and improving curvature. The procedure involves mobilization of the neurovascular bundle, incision on the fibrotic plaque, and reconstruction using a combination of an Evarest patch for tunical repair and a Kerecis graft for structural reinforcement and girth enhancement. This approach balances the need for adequate plaque removal while preserving erectile function and minimizing complications. The Evarest patch provides durable tunical support, while the Kerecis graft, derived from acellular fish skin, offers biocompatibility and promotes tissue integration. This method is particularly beneficial for patients with significant penile deformity, allowing for functional and aesthetic restoration. The surgical technique ensures minimal neurovascular compromise, optimizing postoperative outcomes. This illustrated video serves as a guide for surgeons, offering a step-by-step visualization of key technical aspects that contribute to successful correction of Peyronie’s disease.

Gaffney CD, Pagano MJ, Weinberg AC, et al. Lengthening strategies for Peyronie's disease. Transl Androl Urol. 2016;5(3):351-362. doi:10.21037/tau.2016.04.03