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What is plaque incision and grafting surgery ?

 

Plaque incision and grafting surgery is a specialised surgical procedure used to treat peyronies disease, particularly in cases involving significant curvature or complex deformity

The procedure involves making a controlled incision in the scar tissue ( plaque) to release tension, restore length and improve penile curvature.

The approach is typically considered for patients where curvature is severe or where preservation of penile length is an important factor

 

Peyronies Disease Specialists

All surgery for peyronies disease and non-surgical treatment of peyronies disease, is carried out by Dr Nenad Djakovic and Dr Gerasimos Fragkoulis. Both Doctors are on the GMC Specialist register for Urology. 

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How is Plaque Incision and Grafting Surgery performed  ?

This surgery is designed for men whose Peyronie’s Disease is in the stable phase, when the curvature has stopped changing and pain has subsided.


During the procedure, the surgeon makes a precise incision in the hardened plaque tissue to release the tension causing the bend. A medical-grade graft is then placed over the incision to restore straightness and maintain penile length.

This procedure does not shorten the longer side of the penis. Instead it lengthens the shorter side. This is particularly relevant for patients with severe curvature where the Nesbit procedure would lead to significant loss of penile length

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Who is suitable for plaque incision and grafting surgery ?

Plaque incision and grafting is ideal for men who:

  • Have curvature greater than 40 degrees with significant penile curvature

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  • Experience penile shortening or hourglass deformity

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  • Have stable Peyronie’s Disease (no recent changes)

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  • Wish to maintain as much penile length as possible

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  • Experience functional difficulty during intercourse
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Your suitability will be assessed by one of our experienced andrology surgeons during a private consultation.

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Why choose plaque incision and grafting surgery.

Compared to other surgical techniques, plaque incision and grafting is often selected where;

  • Length-preserving correction is desired– minimises loss of penile length

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  • Natural, straightened appearance. Removal of the penile curvature

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  • Improved sexual function and comfort. Enabling normal sexual function

  • Permanent results – no ongoing treatments required.

    In contrast, milder cases of the disease may be more suited to non-surgical approaches

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   Procedure Overview

 

  •      Anaesthetic: General

  •      Surgery time: Approximately 90–120 minutes

  •      Hospital stay: Day case or overnight stay

  •      Recovery: Return to light activity after 1 week; sexual activity after 6          weeks

   The graft integrates naturally into surrounding tissue, allowing smooth          healing and long-term stability.

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Combining Grafting with other procedures

 

   Many patients choose to combine grafting surgery with other                            treatments to enhance both function and appearance:

  • Penis Enlargement Surgery – for additional length and girth   restoration after correction of the disease ( where desired)

  • Circumcision – often performed concurrently if foreskin tightness is present

  • Scrotoplasty – to improve scrotal appearance as part of an overall surgical approach

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    Alternatives to Grafting surgery 

      

  If your condition is still in the acute phase, non-surgical treatments may      be recommended first:

  • Shockwave Therapy – helps relieve pain and promote tissue healing but is not used to improve curvature

  • PRP Therapy – stimulates cellular repair using your own plasma. Suitable for mild cases of the disease and in early stages

  • Injections for peyronies disease
    – softens plaques and improves flexibility in some cases. Also an approach for early stages of the condition.

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  You can also learn more about these treatments on our Peyronie’s Disease Overview Page.

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Recovery after surgery 

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Recovery following plaque incision and grafting surgery varies between patients.

In general patients may experience;

Temporary swelling and discomfort in the first few weeks

No sexual activity or strenuous exercise for six weeks 

Gradual improvement in penile shape over time

Allow one to two weeks off work

Post-operative guidance and support is provided by the Urologist to ensure optimised healing and best outcomes

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Risks and Considerations

As with any surgical procedure plaque incision and grafting surgery carries potential risks

These may include;

Changes in erectile function

Altered sensation

Infection

Recurrence of curvature

Graft-related complications

 

The likelihood of these complications depends on individual factors and surgical technique.

A full consultation and assessment is essential to understand the potential outcomes.

 

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Understanding your treatment options begins with a conversation. By filling in the contact form, you can book a completely free consultation with a Urologist. 

During the call, they’ll:

  • Answer your questions
  • Discuss your goals
  • Explain the treatment process

 

We are committed to giving you clear, expert guidance every step of the way.

 

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Frequently Asked Questions

Recurrence is uncommon, but following your surgeon’s aftercare advice reduces this risk further.

Unlike the Nesbit procedure, plaque incision and grafting aims to preserve as much length as possible.

Most men resume normal activities within a week and sexual activity within 6–8 weeks.

Yes, it’s often performed at the same time to increase girth and maximise both functional and aesthetic outcomes. 

The operation takes around two hours

Depending on the type of work that you do, you should plan one to two weeks off work.

It can take around six weeks before you will be able to resume sexual activity

Yes, the surgery should not affect urination

You will get erections in the healing phase and this is fine. We do not give you medication to prevent erections after surgery

To find out if you qualify for penile augmentation finance on your procedure, Check out this link which will take you to a FOUR STEP QUICK DECISION LOAN APPLICATION.

You will be in hospital for just one day. You will not normally need to stay in hospital overnight. You will need someone to collect you from hospital to take you home

The Nesbit operation leads to penile shortening. Plaque incision and grafting surgery is  length sparing operation, particularly suitable for those with curvature over forty degrees

Plaque incision and grafting surgery is performed by Dr Nenad Djakovic, Urologist. He has many years of experience in treating peyronies disease 

If you have tried non-surgical treatment but you have not seen any improvement in the condition, then a surgical correction might be the way forward. Many patients come to us after other treatment has not worked. These include shockwave therapy, PRP therapy, traction devices and penis pumps.

Yes you can. However, in cases of severe penile deformity it might not be possible due to the angulation of the penis. Also sex can be uncomfortable for you and your partner. 

In some cases where ED is also present a penile implant might be the best option. Peyronies disease surgery focuses on making the penis functionally straight, but it does not help with erections, that is another matter. In some cases a penile implant is the best option where other treatments for the ED have failed to work. 

Moorgate has a network of nationwide surgeons and centres , simply find your convenient location  below:

Harley Health Village,

64 Harley St, Marylebone, London,W1G 7HB

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Parkhead Consultancy

356 Ecclesall Rd South Sheffield,S11 9PU

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First Trust Hospital

Durton Lane, Broughton, Preston PR3 5LD

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The Westland Medical Centre

Westland Avenue, Hornchurch. Essex. RM11 3SD

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