Penile Curvature Surgery: Procedure, Costs, and Recovery Time - Urology

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Penile curvature surgery, often referred to as surgery for Peyronie's disease or penile deformity, is a procedure aimed at correcting significant curvature of the penis that can cause discomfort or difficulties during sexual intercourse. The curvature can be caused by scar tissue that develops in the penis, leading to a bend that can be as much as 30 degrees or more, as you mentioned.


Procedure Overview
The surgical approach to correct penile curvature typically involves one of two main techniques: plication or grafting.
1. Plication: This is the most common method and involves suturing the longer side of the penis to straighten it. The surgeon makes an incision on the side of the penis opposite the curvature, and then stitches the tissue to reduce the curve. This method is less invasive and usually preserves penile length.

2. Grafting: In cases where the curvature is severe or there is significant loss of penile length, grafting may be necessary. This involves removing the scar tissue and replacing it with a graft, which can be taken from another part of the body or synthetic material. This method is more complex and may involve a longer recovery time.


Costs
The cost of penile curvature surgery can vary widely based on several factors, including the surgeon's experience, the complexity of the procedure, and the geographic location of the surgery. Generally, you can expect the costs to range from $5,000 to $15,000. This price may include pre-operative consultations, the surgery itself, and post-operative follow-up visits. It's essential to check with your insurance provider, as some plans may cover part of the costs if the curvature is causing significant functional issues.


Recovery Time
Recovery from penile curvature surgery typically takes about 4 to 6 weeks. During the first few days post-surgery, patients may experience swelling, bruising, and discomfort, which can be managed with prescribed pain medications. Most patients can return to light activities within a week, but sexual activity should be avoided for at least 4 to 6 weeks to allow for proper healing. Follow-up appointments with your surgeon are crucial to monitor healing and address any concerns.


Potential Side Effects and Complications
As with any surgical procedure, there are potential risks and complications associated with penile curvature surgery. These may include:
- Infection: As with any surgery, there is a risk of infection at the incision site.

- Scarring: There may be visible scarring, especially with grafting techniques.

- Changes in Sensation: Some patients report changes in penile sensation post-surgery.

- Erectile Dysfunction: There is a risk of erectile dysfunction following surgery, although this is relatively rare.

- Recurrence of Curvature: In some cases, the curvature may return over time.


Conclusion
If you are considering penile curvature surgery, it is crucial to consult with a qualified urologist who specializes in this area. They can provide a thorough evaluation, discuss the best surgical options for your specific condition, and help you understand the potential risks and benefits. Additionally, they can guide you through the recovery process to ensure the best possible outcome. Always ensure that you have realistic expectations and understand that while surgery can significantly improve curvature, it may not be able to restore the penis to a completely straight position.