During plication of the penis, an artificial erection is created from either injection of a saltwater solution or selected medications. The outer skin of the penis is pulled back. The penis is straightened, and the excess tissue on what had been the outer side of the curve is cinched together by placing a series of stitches or "tucks." The final penile length will depend on the length of the shorter side — the side with the scarring from Peyronie's disease.
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