Post-Operative Concerns: Penile Curvature After Vein Ligation Surgery

Q: Post-Operative Concerns: Penile Curvature After Vein Ligation Surgery

Hello： The surgeon is better equipped to provide answers. <br>I cannot predict, wishing you good health.

Post-operative care after penile venous leakage ligation?

Hello, doctor.
On August 29th, I underwent a "penile venous ligation" procedure performed by the retired chief of urology at Kaohsiung Veterans General Hospital, costing 120,000 TWD.
The surgery lasted over two hours and was done under spinal anesthesia.
The doctor informed me post-operation that they ligated nearly 20-30 veins.
The incision was made from the area where I had my circumcision, and the sutures used for ligating the vessels were made of long-absorbing material (which takes about two months to dissolve).
At that time, the doctor mentioned that the wound healing would take about two months, and I should refrain from sexual activity during that period.
However, I have a concerning issue.
It has been four weeks since the surgery, and the mucosa at the coronal sulcus is still very sensitive (it had previously broken due to edema).
The external sutures from the circumcision have been removed, but I still have slight edema in my penis.
Additionally, my penis has changed from being "straight up" to a left curvature (deformation).
When engorged, I feel significant pressure at the base, as if something is pressing down on it, preventing it from standing upright.
When I consulted the doctor, he advised me to wait another 3-6 months for further evaluation.
The recovery period seems to be extending, and I am starting to feel anxious.
I would like to know if my current "left curvature of the penis" is temporary or if it may become permanent.
I am quite anxious and worried that it might be due to fibrosis of the left corpus cavernosum or simply residual hematoma inside.

Wei, 30~39 year old female. Ask Date: 2023/10/02

Dr. Li Minghui reply Urology

Hello: The surgeon is better equipped to provide answers.
I cannot predict, wishing you good health.

Reply Date: 2023/10/02

More Info

Post-operative concerns regarding penile curvature after vein ligation surgery can understandably lead to anxiety, especially when changes in anatomy are observed. It’s important to remember that surgical procedures, particularly those involving delicate structures such as the penis, can result in temporary changes as the body heals.

Firstly, it’s essential to recognize that some degree of swelling and sensitivity in the area is common after surgery. The use of absorbable sutures, as mentioned in your case, means that the healing process may take time, and the body will gradually reabsorb these materials. The fact that you are experiencing mild swelling and sensitivity in the glans (the head of the penis) is not unusual, especially if there was previous edema or skin breakdown.

Regarding the curvature you are experiencing, it is crucial to differentiate between temporary changes due to swelling or hematoma (a localized collection of blood outside of blood vessels) and more permanent alterations that could be indicative of fibrosis or scarring. The leftward bend you are noticing could be due to several factors:
1. Swelling and Edema: Post-operative swelling can cause temporary changes in the shape of the penis. As the swelling subsides, the curvature may improve.

2. Hematoma: If there is a collection of blood in the area, it can exert pressure and lead to changes in shape. If this is the case, the hematoma will typically resolve over time, and the curvature may correct itself.

3. Fibrosis: In some cases, if there is significant scarring or fibrosis of the tunica albuginea (the fibrous envelope of the corpora cavernosa), this could lead to a more permanent curvature. However, this is usually assessed after a longer healing period.

Your surgeon's recommendation to wait 3-6 months for a follow-up is standard practice. This allows sufficient time for the body to heal and for any temporary changes to resolve. It’s also important to monitor for any signs of complications, such as persistent pain, significant changes in curvature, or issues with erectile function.

In terms of managing your anxiety, consider the following:
- Follow-Up Appointments: Keep your scheduled follow-up appointments with your surgeon. They can provide reassurance and monitor your healing progress.

- Communication: If you have concerns about the curvature or any other symptoms, don’t hesitate to reach out to your healthcare provider. They can offer guidance and possibly perform imaging studies if necessary.

- Support: Engaging with support groups or forums where individuals share similar experiences can provide comfort and insight.

In conclusion, while it’s natural to feel anxious about changes in your body post-surgery, many factors can contribute to temporary curvature. The healing process can take time, and it’s essential to maintain open communication with your healthcare provider to address your concerns and monitor your recovery. If the curvature persists beyond the expected healing period or if you experience other troubling symptoms, further evaluation may be warranted to rule out any complications.

Similar Q&A

Post-Surgery Concerns: Understanding Changes After Penile Curvature Correction

Hello, last Thursday I underwent a penile curvature correction surgery due to a downward bend. According to the doctor, it involved two stitches and was not a traditional circumcision. Now, on the fifth day post-surgery, I feel a hard lump around the area of the stitches on the f...

Dr. Du Shixi reply Urology
Hello: Bruises will definitely fade within 1-2 weeks. As for the shape, it's not my area of expertise; you may want to consult your surgeon for that. Wishing you good health.

Understanding Post-Surgery Challenges in Penile Curvature Correction

Hello, Doctor. I previously underwent a penile plication surgery, and I was initially very satisfied. However, not long after, during the recovery period, the sutures broke, resulting in a 30-degree leftward curvature and a slight bend of the penis (before correction, it was seve...

Dr. Xu Weikai reply Urology
Xiao Ming: Hello. 1. After surgery, it is possible to use some sedative and hypnotic medications to reduce erections, although the effect is not 100%. Additionally, bladder distension can also trigger erections, so it is necessary to limit fluid intake after dinner. 2. Depending ...

Managing Penile Curvature: Post-Surgery Pain and Treatment Options

Hello doctor, last year I underwent corrective surgery for congenital penile curvature at Taipei Hospital in Xinzhuang. However, a few days ago, I may have overstressed the sutures in the corpus cavernosum, and it seems like they have ruptured. Now, the shape appears to be curvin...

Dr. Chen Xiuyi reply Urology
Hello: After undergoing corrective surgery for congenital penile curvature, it seems that the sutures of the tunica albuginea may have ruptured. It is important to monitor for any signs of hematoma and whether there is any deformity of the penis. It is advisable to seek medical a...

Understanding Post-Surgery Discomfort After Penile Curvature Correction

Dear Doctor, I underwent penile curvature surgery with a tunica albuginea folding technique in November 2014, and it has been two years since then. I still experience discomfort, swelling, pain, and numbness when standing. During this time, I have been taking pain medication. Th...

Dr. Du Shixi reply Urology
Hello, it has been some time since the surgery, and there are many reasons for the ongoing discomfort. Personally, I believe the chance of nerve injury is low; it may still be sensations caused by the surrounding tissue. In addition to taking medication, I suggest trying vitamins...