title: Peyronie's disease: endocavernous plaque excision without substitutive graft: critical 5-year experience.
abstract: OBJECTIVE
  In 2004, the Polish colleague Darewicz published his surgical experience of endocavernous plaque excision avoiding the use of any substitutive graft. Attracted by the extreme simplification in this new technique, we decided to verify such a surgical approach.
  
  
  METHODS
  The separation of the plaque from the overlying albuginea is performed with scissors or scalpel. Once the plaque is removed, the cavernous incision is sutured and the correct straightening is verified. In 5 years, we selected 24 cases of stabilized disease and preserved erection geometrically disturbed by the severe deformity.
  
  
  RESULTS
  We obtained substantial straightening in all cases, even if in 3 cases we added a complementary minimally invasive surgery in the form of a plication, and 2 cases were converted into a graft technique.
  
  
  CONCLUSIONS
  Case studies and current controls allow us to say that the impression is quite good, without the need of autologous tissue or heterologous matrices to be inserted, allowing a more comfortable post-operative course and a faster and easier functional recovery.
authors: Division of Urology, San Giovanni Hospital, Milan, Italy. mantovanifranco@yahoo.it
authors: Franco
authors: F
authors: Mantovani
authors: Emilio
authors: E
authors: Patelli
authors: Claudio
authors: C
authors: Antolini
mesh_terms: D006801:Humans; D008297:Male; D010411:Penile Induration / Q000601:surgery*; D013997:Time Factors; D013521:Urologic Surgical Procedures, Male / Q000379:methods