Post-Operative Concerns After Penile Vein Ligation Surgery - Urology

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After undergoing penile vein ligation surgery, it is understandable to have concerns about the healing process and any changes in the anatomy of the penis. Your experience of sensitivity in the coronal sulcus, mild swelling, and the bending of the penis to the left can be distressing, but let's break down these issues to provide clarity.

Firstly, it is important to recognize that post-operative sensitivity and swelling are common after such surgeries. The use of absorbable sutures means that the healing process can take time, and it is not unusual for the area to remain sensitive for several weeks. The fact that you are four weeks post-surgery indicates that you are still within the early stages of recovery. The swelling you are experiencing may be due to residual edema from the surgery, which can take time to resolve.
Regarding the bending of the penis, this can occur for several reasons. One possibility is that the swelling and the healing process may temporarily alter the shape of the penis. As the swelling decreases and the tissues heal, it is possible that the penis may return to its normal shape. However, if the bending persists beyond the typical healing period, it could indicate other issues, such as scar tissue formation or fibrosis, which can occur in the tunica albuginea (the fibrous envelope surrounding the erectile bodies).
It is also important to consider the possibility of a hematoma (a localized collection of blood outside of blood vessels) that may be affecting the shape of the penis. If there is a hematoma present, it may cause pressure and discomfort, and as it resolves, the shape may improve.
Your anxiety about whether the left bend is temporary or permanent is valid. While many patients experience temporary changes in shape due to swelling or healing, persistent changes may require further evaluation. It is crucial to maintain open communication with your urologist. They may recommend follow-up appointments to monitor your healing progress and assess any changes in the anatomy of the penis.
In terms of sexual activity, it is wise to adhere to your surgeon's advice regarding the waiting period before resuming sexual intercourse. Engaging in sexual activity too soon can lead to complications, including increased swelling or injury to the surgical site.
To alleviate your concerns, consider the following steps:
1. Follow-Up Appointments: Schedule regular follow-ups with your urologist to monitor your healing process and discuss any concerns you have.

2. Avoid Strain: Refrain from any activities that may put strain on the surgical site, including sexual activity, until you receive clearance from your doctor.

3. Pain Management: If you experience discomfort, discuss pain management options with your physician.

4. Stay Informed: Educate yourself about the healing process and what to expect post-surgery. This can help reduce anxiety.

In summary, while some changes in sensitivity and shape are common after penile vein ligation surgery, persistent issues should be evaluated by your healthcare provider. With time, many of these concerns may resolve, but it is essential to stay proactive about your health and communicate openly with your medical team.