Penile Curvature: Post-Surgery Concerns and Options - Urology

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I was born with a congenital downward curvature of the penis.
Six months ago, I underwent penile correction surgery; however, during the procedure, the anesthetic was injected into my blood vessel, causing me to feel dizzy and my penis to become flaccid, which resulted in the suturing not being completed.
The doctor said it was okay and suggested monitoring the situation.
After returning home, I noticed that my erections were somewhat straighter, and I experienced the usual pain associated with an erection.
However, when I touch the sutured area, it feels like there are lumps inside.
I'm wondering if those are the knots from the sutures and if they will disappear over time.
After a couple of months, I suddenly experienced the same pain during erections that I had right after the surgery, lasting for about 2 to 3 days, but then it subsided.
Currently, my penis is not as straight as it was immediately after the surgery, and the angle of the downward curvature seems to have increased.
I am concerned that the surgery may not have been fully successful or secure, and that it might have come undone.
Should I consider undergoing another surgery? The suturing was done approximately halfway along the shaft of the penis, and while it did become straighter, it only reached the 9 o'clock position.
If I were to have another surgery, could I ask the doctor if it’s possible to suture closer to the base to achieve a lifting effect that might allow the angle to reach the 10 or 11 o'clock position?

A-Ting, 30~39 year old female. Ask Date: 2020/08/06

Dr. Du Shixi reply Urology


Hello: Please discuss with your attending physician, as I have not undergone this surgery.
Wishing you good health.

Reply Date: 2020/08/06

More Info


Understanding penile curvature and the concerns following corrective surgery can be complex and emotionally charged. It’s important to address your questions with a comprehensive understanding of the surgical procedure, healing process, and potential outcomes.

Firstly, it’s not uncommon for patients to experience some complications during or after penile curvature surgery, especially if the procedure was complicated by issues such as improper anesthesia administration. The fact that you experienced dizziness and a softening of the penis during surgery could have impacted the surgeon's ability to complete the procedure as planned. This may lead to concerns about the effectiveness of the surgery and whether the curvature has been adequately corrected.

Regarding the "lumps" you feel at the suture site, these could indeed be knots from the sutures used during the surgery. In many cases, these knots can be palpable for some time after surgery but may eventually dissolve or become less noticeable as the tissue heals. However, if these lumps are painful, growing, or causing significant discomfort, it’s essential to consult your surgeon for an evaluation.

The recurrence of pain during erections, especially if it resembles the pain experienced post-surgery, is concerning. This could indicate several issues, including incomplete healing, scar tissue formation, or even a recurrence of the curvature. It’s crucial to differentiate between normal post-operative discomfort and signs of complications. If the pain persists or worsens, a follow-up with your healthcare provider is necessary.

As for the curvature returning or worsening, this can happen for various reasons, including inadequate surgical correction, the formation of scar tissue, or even the natural elasticity of the penile tissue. If the curvature is indeed more pronounced than before, it may suggest that the initial surgical correction was not sufficient or that the healing process has not gone as expected.

If you are considering a revision surgery, it’s essential to have a detailed discussion with your surgeon. You can certainly inquire about the possibility of approaching the surgery from a different angle, such as closer to the base of the penis, to achieve a more favorable outcome. Surgeons often have specific techniques they prefer, and they will consider your anatomy, the previous surgical approach, and your desired outcomes when planning any further procedures.

In conclusion, it’s vital to maintain open communication with your healthcare provider regarding your concerns. They can provide you with a thorough examination and discuss the best options moving forward, whether that involves further surgical intervention or alternative treatments. Remember, the healing process can take time, and patience is often required as you navigate the recovery journey. Always prioritize your health and well-being by seeking professional advice tailored to your specific situation.

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