Last updated on April 25, 2025
Have you been diagnosed with Peyronie’s Disease (PD) and advised to consider surgery, such as plication or the Nesbit Technique? If so, it’s understandable to have concerns about undergoing a surgical procedure.
Exploring Plication Surgery
If you are exploring plication surgery, it’s essential to discuss the full implications with your doctor, consultant, or surgeon before making a decision. You may also find it helpful to review this option with your partner.
Another option to consider is Shockwave Therapy, a non-invasive approach designed to help reduce or eliminate curvature without surgery. Shockwave Therapy is intended to maintain functionality and comfort, potentially providing a less invasive alternative.
Understanding Plication Surgery for Curvature Correction
Here are more facts about plication
The plication technique is a surgical approach to managing penile curvature. It involves placing multiple paired sutures through the full thickness of the tunica albuginea (TA) to straighten the affected area.
The final length following surgery typically depends on the length of the shorter, scarred side before surgery. As a result, some patients may experience a slight reduction in length. Some men also report noticing under-skin stitches or a reduction in sensitivity. Consulting with a healthcare provider can help manage these expectations and discuss ways to address potential post-surgery effects.
Some patients report a mild residual curvature following surgery, while others experience a more persistent or recurring curvature. Since 2006, a modified procedure called Tunica Albuginea Plication (TAP) has been used, involving vertical plication of the tunica albuginea (TA) in a way that conceals knots and reinforces the plication with multiple stitches. This technique also avoids circumcision and helps maintain sensitivity
The tunica albuginea is the fibrous sheath that extends along the length of both the corpora cavernosa and the corpus spongiosum, which houses the urethra. This bi-layered structure consists of an outer longitudinal layer and an inner circular layer, providing essential support.
About the Author
Mr. Leon Almashan
Mr. Almashan is a recognised specialist in advanced, non-surgical treatments for men’s health conditions, including Erectile Dysfunction and Peyronie’s Disease.
A graduate of St. George’s Medical School, he has developed innovative treatment protocols that have supported improved quality of life for 1000’s of patients worldwide.
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