# Novel grafting technique using femoral subcutaneous tissue in the surgical management of Peyronie's disease: A case report

## TL;DR

A new surgical technique using femoral subcutaneous tissue as a graft for Peyronie's disease shows promising results in correcting penile curvature without complications.

## Contribution

The Tirtayasa-Duarsa technique introduces femoral subcutaneous tissue as a novel autologous graft for Peyronie's disease surgery.

## Key findings

- The procedure successfully corrected penile curvature while preserving erectile function.
- Femoral subcutaneous tissue graft showed no complications like rejection or penile shortening.
- The graft offers potential benefits in biocompatibility and reduced recurrence risk.

## Abstract

Peyronie's disease (PD) is characterized by fibrous plaque formation in the tunica albuginea, leading to penile curvature, painful erections, and erectile dysfunction (ED). Surgical treatment often requires grafting post-plaque excision to restore function. Although various graft materials are used, the use of femoral subcutaneous tissue for PD has not been documented yet. The objective is to explore the feasibility and potential benefits of this new graft material as an alternative for PD patients.

A 52-year-old male with Peyronie's disease presented with penile curvature and painful erections. Physical examination revealed a penile plaque. After plaque excision, a femoral subcutaneous graft was placed. Postoperatively, the patient experienced no complications, including graft rejection, erectile dysfunction, or penile shortening, and resumed normal sexual function.

Femoral subcutaneous tissue was selected for its high vascularity, ease of harvesting, and low complication risk. Compared to commonly used grafts, it offers better perfusion and tissue integration, reducing the risk of PD recurrence and shortening.

This case highlights the successful utilization of femoral subcutaneous tissue as a graft for PD surgery, offering promising results. Further research is needed to validate its long-term efficacy compared to traditional grafts.

•Tirtayasa-Duarsa technique is presented as a novel autologous graft option for Peyronie’s disease surgery.•The procedure achieved satisfactory penile curvature correction while preserving erectile function.•This technique offers potential benefits in biocompatibility and reduced complications.

Tirtayasa-Duarsa technique is presented as a novel autologous graft option for Peyronie’s disease surgery.

The procedure achieved satisfactory penile curvature correction while preserving erectile function.

This technique offers potential benefits in biocompatibility and reduced complications.