Penile Curvature: Concerns and Surgical Options - Urology

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Understanding penile curvature, especially in the context of previous surgeries like hernia repair, can be a source of concern for many individuals. Your inquiry touches on several important aspects regarding the curvature, potential surgical options, and the implications of circumcision. Let’s address your questions systematically.

1. Development and Suitability for Surgery: Penile curvature can be a result of various factors, including congenital conditions or changes after surgeries. If you are experiencing a curvature of about 30 degrees during erection, it is essential to determine whether this curvature is stable or progressive. Generally, if you are over the age of 18 and have reached full sexual maturity, it is likely that your penis has developed completely. The suitability for a surgical procedure like the tunica albuginea plication (often referred to as "white membrane folding surgery") depends on the degree of curvature, the presence of any associated conditions like Peyronie's disease, and whether the curvature is causing functional issues, such as pain during intercourse or difficulty in achieving penetration. A thorough evaluation by a urologist specializing in penile surgery is crucial to determine if you are a good candidate for this procedure.

2. Impact of Curvature on Circumcision: When considering circumcision, it is important to note that penile curvature itself does not typically complicate the circumcision procedure. However, if the curvature is significant, it may require special attention during the circumcision to ensure that the skin is evenly distributed and that the cosmetic outcome is satisfactory. It is advisable to discuss your concerns with your surgeon, who can provide insights based on the specifics of your curvature and overall penile anatomy.

3. Surgical Sequence: If you are contemplating both circumcision and the correction of penile curvature, the order of these procedures can be significant. Generally, it is recommended to address the curvature first, especially if it is causing discomfort or functional issues. Performing the curvature correction first allows the surgeon to assess the anatomy of the penis without the potential complications that might arise from circumcision. After the curvature surgery has healed, circumcision can be performed if desired. This sequential approach minimizes the risk of complications and ensures that each procedure can be performed with the best possible outcomes.

In conclusion, it is essential to have an open and detailed discussion with a qualified urologist who can evaluate your specific situation, including the degree of curvature, any associated symptoms, and your overall health. They can provide personalized recommendations regarding the timing and nature of any surgical interventions you may be considering. Remember, addressing these concerns is not only about aesthetics but also about ensuring your sexual health and comfort. Don't hesitate to seek a second opinion if you feel uncertain about the recommendations you receive. Your health and well-being are paramount, and you deserve to have all your questions answered thoroughly.