Plaque incision and grafting and penile prosthesis implantation

Warning! This video contains highly graphic scenes of surgery.

In patients with advanced Peyronie’s disease and erectile dysfunction, penile prosthesis implantation alone or in combination with modelling manoeuvres may not be enough to correct the curvature and therefore release of the scarred plaque on the tunica albuginea and grafting of the defect may be necessary.

This is a very delicate procedure as the fine nervous and vascular structures of the penis need to be lifted off the tunica albuginea in an atraumatic fashion, to prevent postoperative loss of sensation.

In the expert hands of large volume surgeons, penile prosthesis implantation in patients with Peyronie’s Disease yields excellent cosmetic and functional results, with more than 98% of patients able to engage in satisfactory penetrative sexual intercourse.
Further details can be found on the following article published by Mr Garaffa.
BJU Int. 2011 Oct; 108(7): 1152-6. 
The management of residual curvature after penile prosthesis implantation in men with Peyronie's disease.  Garaffa G(1), Minervini A, Christopher NA, Minhas S, Ralph DJ

J Sex Med. 2016 Jun;13(6): 905-23​
Chung E, Ralph D, Kagioglu A, Garaffa G, Shamsodini A, Bivalacqua T, Glina S, 
Hakim L, Sadeghi-Nejad H, Broderick G. Evidence-Based Management Guidelines on
Peyronie's Disease.

Why Choose Giulio

Giulio is a veteran surgeon with 15 years of experience in the field of Andrology and Reconstruction. He is also one of the largest penile prosthesis implanters in Europe, as well as the surgeon who performs the largest number of procedures for the correction of complex cases of Peyronie's disease. He has been invited to lecture and perform surgery in 21 different countries, in 6 different continents.


Penile prosthesis implants last year


Complex Andrological procedures every year


Phalloplasties over his career