Abstract Background Peyronie’s disease leads to fibrotic plaque formation in the tunica albuginea, causing penile curvature and deformity that can severely affect sexual function and quality of life. In advanced cases, surgical intervention involving tunical excision and grafting is often required. Bovine pericardium is increasingly used as a graft material due to its durability and biocompatibility. To demonstrate a detailed, step-by-step surgical technique for tunical excision and reconstruction with bovine pericardial grafts in patients with severe Peyronie’s disease, focusing on optimizing outcomes and minimizing complications. Methods The procedure involves penile degloving, careful neurovascular bundle mobilization, excision of the fibrotic tunica plaque, tailoring of a bovine pericardial graft to fit the defect, and meticulous graft fixation. The video emphasizes preserving erectile tissue and achieving tension-free closure. Results The surgical technique was successfully performed with complete correction of penile curvature. Postoperative outcomes included restoration of penile straightness, preservation of erectile function, and minimal complications. Patients demonstrated high satisfaction with both functional and cosmetic results. Conclusion Tunical excision with bovine pericardial grafting is a safe and effective approach for managing severe Peyronie’s disease. This surgical technique provides reliable correction of deformity while preserving erectile function, making it a valuable option for complex cases.
Cangüven et al. (Sun,) studied this question.
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