Effect of Tunical Defect Size After Peyronie's Plaque Excision on Postoperative Erectile Function: Do Centimeters Matter?

Plaque excision and dermal grafting can be recommended only for highly selected patients with Peyronie's disease with good erectile capacity, with a degree of angle not suitable for only plication or Nesbit techniques, for patients who do not accept any significant shortening of the penis, and if the size of the tunical defect will be <3 cm. Additional techniques on the opposite aspect of the lesion are advocated for the remaining curvatures, not to enlarge the tunical defect >3 cm.