Concerns After Penile Surgery: Possible Complications and Sleep Issues

Q: Concerns After Penile Surgery: Possible Complications and Sleep Issues

Hello： It has been a month since the surgery, and it should have minimal impact. <br>However, you should still return for a follow-up appointment with your surgeon for an examination. <br>If you are experiencing poor sleep, you can temporarily consult a psychiatrist for medicatio

Penile correction, suspected rupture?

Hello, Doctor.
I underwent penile correction surgery using the tunica albuginea folding technique with a six-point surgical method.
On the morning of the 29th day post-surgery, I felt a sensation inside my penis that was reminiscent of popping corn; it was subtle and not very pronounced, but as a non-professional, I cannot determine if this is indicative of a suture rupture.
On days 30, 31, and 32, I experienced similar sensations in the morning: the first time on the lower right side of the penis, the second time at the lower right corner, the third time in the middle right position, and the fourth time in the middle left.
I am very worried that there might be a chain reaction of ruptures, which would render my surgery ineffective.
Since my surgeon is abroad, I am quite anxious.

1.
I would like to ask if this situation, occurring nearly a month after surgery, could affect the outcome of my procedure.
Is it true that if a suture were to rupture after a month, the impact would be minimal? What should I do? I am very concerned.

2.
Additionally, I have been experiencing frequent nocturnal erections that have severely affected my sleep.
My sleep schedule and quality have not been good this past month.
Are there any methods to improve this?
3.
Lastly, I still have some swelling after a month, although it has improved slightly.
Is this considered normal?

Niming, 20~29 year old female. Ask Date: 2017/08/04

Dr. Du Shixi reply Urology

Hello: It has been a month since the surgery, and it should have minimal impact.
However, you should still return for a follow-up appointment with your surgeon for an examination.
If you are experiencing poor sleep, you can temporarily consult a psychiatrist for medication assistance.
To manage swelling, avoid prolonged sitting or standing, and maintain a light diet to aid circulation.
Postoperative swelling is quite common for several weeks.
Wishing you good health.

Reply Date: 2017/08/04

More Info

After undergoing penile surgery, it's understandable to have concerns about potential complications and sleep disturbances. Let's address your questions and provide some insights based on medical knowledge.

1. Concerns About Sensations in the Penis: The sensations you're experiencing, described as a "popcorn-like" feeling, could be related to several factors. After surgery, it's common to experience various sensations as the tissues heal. These could include nerve regeneration, scar tissue formation, or even the normal healing process. However, if you are feeling a distinct popping sensation that is concerning you, it is essential to consult with your surgeon or a urologist, even if they are currently abroad. They may be able to provide guidance through telemedicine or recommend a local specialist who can evaluate your condition. Generally, if a suture were to break, it might not necessarily indicate a failure of the surgery, especially if it has been a month since the procedure. Many surgical sites can heal well even if some sutures dissolve or break. However, it is crucial to have a professional assessment to ensure everything is healing properly.

2. Sleep Disturbances Due to Nighttime Erections: It's not uncommon for men to experience nocturnal erections, which can be more pronounced after surgery due to the healing process and increased blood flow to the area. This can indeed disrupt sleep and lead to discomfort. To improve your sleep quality, consider the following strategies:
- Sleep Position: Experiment with different sleeping positions. Some men find that sleeping on their side or in a position that minimizes pressure on the genital area can help.

- Relaxation Techniques: Engage in relaxation techniques before bed, such as deep breathing exercises, meditation, or gentle stretching to help calm your mind and body.

- Consult a Specialist: If the nighttime erections continue to disrupt your sleep significantly, it may be beneficial to consult a urologist. They can provide options such as medications that may help manage this side effect temporarily.

3. Persistent Swelling: It's not unusual for some swelling to persist for several weeks after surgery, especially in delicate areas like the penis. The healing process can vary significantly from person to person. If the swelling is gradually decreasing and you are noticing improvement, this is generally a positive sign. However, if the swelling remains significant or is accompanied by pain, redness, or discharge, it could indicate a complication such as infection or fluid accumulation. In such cases, a follow-up with your healthcare provider is warranted.

In summary, while some post-operative sensations, sleep disturbances, and swelling can be normal, it is essential to maintain open communication with your healthcare provider. If you have any concerns that are causing you anxiety, do not hesitate to seek medical advice. Your health and peace of mind are paramount, and addressing these issues with a professional can help alleviate your worries and ensure a smooth recovery.

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