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Surgical Options There are 3 types of surgical procedures typically done for PD, alone or in combination: Penile plication Incision or excision of plaque and grafting Placement of penile prosthesis alone, with modeling, with internal incision of plaque (the scratch technique), or with incision or excision of plaque and grafting Penile Plication During penile plication the surgeon uses sutures underneath skin on the opposite side of the curvature to create an opposing tension to correct the curvature

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