The comparison of success status and complications in peyronie disease patients: penile plication versus plaque incision and grating techniques

Aims: This study aimed to evaluate and compare the outcomes of tunical lengthening shortening techniques for surgical management Peyronie's disease (PD) in terms penile length, patient satisfaction, complications.
 Methods: A retrospective analysis was conducted on PD patients who underwent procedures between January 2017 May 2023 at a single institute. Patient demographics, comorbidities, curvature, were evaluated. The included plaque incision grafting, plication. Post-operative data, including residual adverse events, erectile function, collected 1-12 months surgery. 
 Results: total 36 (mean follow-up period: 432.25±121.14 days) PD. Penile length group (13.04±1.62 cm) significantly longer than (10.85±1.24 cm, p=0.001). Tunical associated with higher rate (57.1% vs. 6.7%, p=0.001) suture-related discomfort (38.1% p=0.031) compared procedures. satisfaction (80% 66.7%, p=0.378). There no significant difference painful erection during penetrations or incapability intercourse groups. average hospital stay surgery (1.27±0.27 1.79±0.39, p=0.023).
 Conclusion: demonstrated superior also group. Clinicians should consider various factors when selecting appropriate technique PD, degree surgeon experience. Prospective randomized studies are needed further validate these findings assess long-term outcomes.