Penile issues
Hello, doctor.
I would like to inquire about issues related to penile curvature.
I have previously undergone hernia surgery, and I have now noticed that my penis bends to the left at about a 30-degree angle during erection.
I have the following questions:
1.
Is my development complete at this stage, and is it appropriate to perform a tunica albuginea plication procedure?
2.
I am considering circumcision and would like to know if the penile curvature will affect the surgery and lead to postoperative complications.
3.
During the tunica albuginea plication surgery, the foreskin will be circumcised and retracted to the base.
If I am considering circumcision soon, will these two procedures overlap? I would like to ask the doctor about the order of these two surgeries.
Thank you, doctor.
Chen, 10~19 year old female. Ask Date: 2023/06/30
Dr. Jian Weihong reply Urology
Hello: 1.
Determining complete development is difficult and usually includes factors such as increased height, muscle and bone development, voice changes, maturation of the genitalia, growth of pubic hair, and facial hair growth.
Physical maturation and development may continue for some time after puberty.
For example, muscle growth and height increase may continue for several years after puberty until the body is fully mature.
2.
Circumcision and surgery for penile curvature are different procedures and should not affect each other.
3.
It is recommended to discuss with the surgeon, as both circumcision and penile curvature surgery are elective procedures, often self-funded.
The surgeon should provide an explanation.
Wishing you good health.
Reply Date: 2023/06/30
More Info
When it comes to understanding penile curvature and the surgical options available, it's essential to consider several factors, including the degree of curvature, the underlying causes, and the implications of any additional procedures, such as circumcision.
1. Development and Suitability for Surgery: If you are experiencing a curvature of approximately 30 degrees during erection, it is crucial to determine whether this curvature is stable and if it has been present for a significant period. Typically, penile curvature can be a result of conditions like Peyronie's disease, which may develop after trauma or surgery, such as your previous hernia operation. It is advisable to wait until you have reached full sexual maturity before undergoing any surgical intervention, as the penis may continue to develop. A urologist can assess whether your condition is suitable for a surgical procedure like the tunica albuginea plication (often referred to as the "white membrane folding" technique).
2. Impact of Curvature on Circumcision: If you are considering circumcision, it is important to discuss this with your surgeon. Generally, penile curvature does not significantly affect the circumcision procedure itself. However, if the curvature is severe, it may complicate the surgical approach or the healing process. It is essential to inform your surgeon about the curvature so they can plan the circumcision accordingly, ensuring that it does not exacerbate the curvature or lead to complications.
3. Surgical Sequence: Regarding the sequence of surgeries, if you are planning both circumcision and surgery for penile curvature, it is typically advisable to perform the curvature correction first. This is because the curvature surgery may involve adjustments to the penile structure that could affect how the circumcision is performed. If circumcision is done first, it may limit the surgical options available for correcting the curvature later. Therefore, discussing the timing and sequence of these procedures with your urologist is crucial to ensure optimal outcomes.
In summary, the management of penile curvature involves careful consideration of the degree of curvature, the timing of surgical interventions, and the potential impact of concurrent procedures like circumcision. It is essential to have a thorough discussion with a qualified urologist who can provide personalized recommendations based on your specific situation. They will be able to guide you through the decision-making process, ensuring that you understand the risks, benefits, and expected outcomes of each surgical option. Additionally, they can help you develop a comprehensive treatment plan that addresses both the curvature and any other concerns you may have regarding your sexual health.
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