Can Surgery Correct Severe Penile Curvature After Injury? - Urology

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Severe penile curvature, especially after an injury, can be a distressing condition that affects both physical comfort and psychological well-being. In your case, it sounds like your brother experienced a significant injury that has led to a pronounced downward curvature during erection, which may be indicative of a condition known as Peyronie's disease or penile fracture, depending on the specifics of the injury.

Surgery can indeed be an option to correct severe penile curvature, particularly if the curvature is causing pain, discomfort, or significant psychological distress. The surgical options typically depend on the severity of the curvature, the underlying cause, and the overall health of the patient.

1. Surgical Options:
- Plication Surgery: This is often the first-line surgical treatment for penile curvature. It involves suturing the longer side of the penis to straighten it. This procedure is generally less invasive and has a shorter recovery time.

- Incision and Grafting: In cases of more severe curvature or when there is significant plaque formation (as seen in Peyronie's disease), a surgeon may opt for an incision and grafting technique. This involves making incisions in the plaque and then grafting tissue to help straighten the penis.

- Penile Prosthesis: In cases where there is also erectile dysfunction, a penile prosthesis may be considered. This involves implanting a device that can help achieve an erection and may also help straighten the penis.

2. Timing and Considerations:
- Given that your brother is now 31 years old and has been living with this condition for some time, it is crucial to consult with a urologist who specializes in penile surgery. They will perform a thorough evaluation, including a physical examination and possibly imaging studies, to assess the extent of the curvature and any underlying issues.

- It's important to discuss the potential risks and benefits of surgery, including the possibility of complications such as changes in sensation, erectile dysfunction, or the need for further surgeries.

3. Post-Surgery Recovery:
- Recovery from penile surgery can vary depending on the type of procedure performed. Generally, patients are advised to avoid sexual activity for a period of time post-surgery (usually around 4-6 weeks) to allow for proper healing.

- Follow-up appointments are crucial to monitor healing and address any complications that may arise.

4. Psychological Impact:
- The psychological impact of penile curvature and the associated concerns about body image and sexual function should not be overlooked. Counseling or support groups may be beneficial for your brother to help him cope with the emotional aspects of his condition.

In conclusion, surgery can be a viable option to correct severe penile curvature resulting from an injury. It is essential to consult with a qualified urologist who can provide personalized advice based on your brother's specific situation. They will guide you through the options available, the expected outcomes, and the recovery process, ensuring that your brother can achieve the best possible results.