Penile Curvature: Surgery, Costs, and Recovery Insights - Urology

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Penile issues - Penile curvature


Hello Dr.
Sun: About a year ago, my wife and I encountered an issue during intercourse that seemed to injure my penis.
After some time, I noticed that my penis has become increasingly curved (bending to the left during erection).
Recently, I visited Chang Gung Memorial Hospital, where the doctor reviewed the images and informed me that the curvature exceeds 30 degrees.
Upon physical examination, a hard lump was found on the right side of my penis, and surgery is required.
I would like to ask the doctor the following questions:
1.
Is penile curvature surgery considered a major surgery? Will general anesthesia be required? Will I need to be hospitalized?
2.
The doctor at Chang Gung mentioned that there is no National Health Insurance (NHI) subsidy for the penile curvature surgery, and the cost is approximately NT$30,000.
However, I found online that some sources state there is an NHI subsidy.
I checked the NHI subsidy code 784108 for the Peyronie's disease treatment, which indicates a subsidy of 5,540 points.
Which information is correct?
3.
What post-operative care should I be aware of? Are there any potential complications, such as erectile dysfunction, etc.?

v2356, 50~59 year old female. Ask Date: 2019/07/08

Dr. Sun Hongshun reply Urology


Hello, 1.
You may consider either local or general anesthesia.
If your pain tolerance is not too low, local anesthesia may not require hospitalization.
2.
For cost inquiries, please consult the National Health Insurance Administration.
3.
Postoperative erectile difficulties are unlikely, but there may be a reduction in penile length of 1-2 centimeters.

Reply Date: 2019/07/08

More Info


Understanding penile curvature, particularly when it leads to significant deformity or discomfort, is crucial for many men. The condition you are describing, where the penis bends during erection, can be caused by a variety of factors, including trauma, Peyronie's disease, or other underlying conditions. Here’s a detailed overview of the surgical options, costs, recovery, and post-operative care associated with penile curvature.


1. Surgical Procedure
Penile curvature surgery is typically not classified as a major surgery, but it is still a significant procedure that requires careful consideration. The most common surgical techniques include plication, grafting, or penile prosthesis implantation, depending on the severity of the curvature and the presence of any fibrous plaques (hard lumps) in the penis.

- Anesthesia: Most penile curvature surgeries are performed under general anesthesia, meaning you will be completely unconscious during the procedure. In some cases, regional anesthesia may be used, but this is less common.


- Hospital Stay: Generally, these surgeries can be performed on an outpatient basis, meaning you may not need to stay overnight in the hospital. However, this can vary based on individual circumstances and the specific surgical technique used.


2. Costs and Insurance Coverage
The cost of penile curvature surgery can vary widely based on the facility, the surgeon's experience, and the specific procedure performed. You mentioned a cost of approximately 30,000 TWD, which is a reasonable estimate for such a procedure in Taiwan.
Regarding insurance coverage, it is essential to clarify with your healthcare provider or the hospital's billing department. While some procedures may have partial coverage under national health insurance, others may not. The reference you found regarding the 5,540-point subsidy for specific treatments might apply to certain cases, but it is crucial to confirm whether your specific situation qualifies for this coverage. Always check with your healthcare provider for the most accurate and up-to-date information.


3. Post-operative Care and Considerations
After surgery, there are several important considerations to ensure proper healing and minimize complications:
- Rest and Recovery: It is vital to allow your body to heal. You may be advised to avoid sexual activity for a certain period, typically around 4 to 6 weeks, depending on the surgical technique used.

- Pain Management: Post-operative pain is common, and your doctor will likely prescribe pain relief medications. Follow their instructions carefully.

- Follow-up Appointments: Regular follow-ups with your surgeon are crucial to monitor healing and address any concerns that may arise.

- Potential Complications: While many men experience successful outcomes, there are risks associated with any surgery. Possible complications include infection, scarring, changes in penile sensation, and erectile dysfunction. It is essential to discuss these risks with your surgeon beforehand.


Conclusion
In summary, penile curvature surgery is a significant but manageable procedure that can greatly improve quality of life for those affected. Understanding the surgical process, costs, and recovery can help you make informed decisions. Always consult with your healthcare provider for personalized advice and to clarify any uncertainties regarding insurance coverage and post-operative care. Taking these steps will help ensure a smoother recovery and better outcomes.

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