Is it possible to undo penile correction after it has been performed?
Hello, doctor.
I underwent penile correction surgery, specifically the tunica albuginea folding technique, and it has been two years since the procedure.
Because non-absorbable sutures were used, I can feel two hard knots at the top during an erection, which is quite noticeable.
I am considering having them removed and have the following questions for you:
1.
Since the wound has already healed, I am concerned about the adhesions and whether the removal will be difficult or have any negative effects.
2.
If the sutures are removed, can I switch to absorbable sutures, and would that resolve the sensation of the knots?
3.
Will the removal of the sutures cause the penis to return to its original curvature and length?
4.
After removal, will the length return to what it was before the surgery, and will there be any issues with erectile rigidity?
Thank you.
N, 20~29 year old female. Ask Date: 2020/08/02
Dr. Du Shixi reply Urology
Hello: In my personal opinion, removal is rarely considered, but you should consult your surgeon.
Wishing you good health.
Reply Date: 2020/08/02
More Info
After undergoing penile correction surgery, particularly with non-absorbable sutures, it is understandable to have concerns regarding the presence of suture knots and their impact on your recovery and comfort. Here’s a comprehensive response to your questions based on medical knowledge and practices.
Firstly, it is important to note that non-absorbable sutures are often used in surgical procedures for their strength and durability, especially in areas that experience significant tension or movement. However, the presence of suture knots can sometimes lead to discomfort or a feeling of hardness under the skin, as you have described.
Regarding your question about removing these sutures, it is generally advisable to consult with your surgeon or a qualified urologist before making any decisions. They can assess the surgical site and determine whether the sutures can be safely removed. In many cases, if the incision has healed properly and there are no signs of infection or complications, the sutures can be removed without significant issues. However, if there is any concern about adhesion or the integrity of the surrounding tissue, your doctor may recommend waiting longer or may suggest alternative methods for addressing your discomfort.
If you decide to proceed with the removal of the non-absorbable sutures, it is possible to replace them with absorbable sutures if deemed appropriate by your surgeon. Absorbable sutures can eliminate the need for future removal and may reduce the sensation of foreign bodies in the tissue. However, it is essential to discuss this option with your surgeon, as they will consider factors such as the healing process, the type of tissue involved, and the specific surgical technique used.
As for your concerns about the potential for the penis to return to its original curvature or length after suture removal, it is important to understand that surgical outcomes can vary significantly based on individual anatomy and the nature of the procedure performed. In many cases, the removal of sutures alone should not affect the curvature or length of the penis, especially if the surgical site has healed well. However, if there were any underlying issues that contributed to the curvature prior to surgery, these may still be present.
Regarding the hardness and blood flow, it is crucial to monitor any changes in sensation, erection quality, or overall penile health after the removal of sutures. If you experience any unusual symptoms, such as pain, swelling, or changes in erectile function, it is imperative to seek medical attention promptly.
In conclusion, while it is possible to remove non-absorbable sutures after penile correction surgery, it is essential to consult with your surgeon to ensure that it is safe and appropriate to do so. They can provide guidance on the best course of action, including the possibility of replacing them with absorbable sutures. Always prioritize open communication with your healthcare provider to address any concerns and ensure optimal recovery.
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