Peyronie's disease: excision and autografting with tunica vaginalis

Surgical excision of the indurated penile plaque followed by grafting with tunica vaginalis from the testes resulted in satisfactory correction of phallic deformity in 6 patients with sexually disabling chordee owing to Peyronie's disease. In 2 other patients impotence associated with a painful plaque was treated by excision and grafting followed by insertion of a penile prosthesis. The parietal layer of tunica vaginalis has proved to be an ideal substitute of tunica albuginea of the penis and has caused neither shrinkage nor bulging at the graft site.