Peyronie's surgery: graft choices and outcomes

Peyronie's disease (PD), a localized fibrosis of the tunica albuginea surrounding the penile corpora, results in penile curvature and sexual dysfunction. Men with significant penile curvature and satisfactory erectile function are often treated with plaque incision or excision and grafting. The advantages and disadvantages of various grafting materials have long been debated. Graft materials can be divided into three categories: autologous tissue harvested from the patient's body, allograft or xenograft from another person or species, and synthetic grafts. Despite groundbreaking advances in physiology, synthetic materials, and tissue engineering, the ideal graft material has yet to be established. This review presents and discusses the variety of graft materials available for the surgical correction of PD. For this purpose, a MEDLINE search was conducted on PD until May 2009.