Penile Curvature: Surgical Options and Considerations

Penile curvature?

Hello Doctor, I have a significant curvature of my penis to the left, which makes sexual intercourse difficult.
Could you recommend a hospital in Kaohsiung that specializes in this type of surgery? How much would the surgery cost to resolve this long-standing issue? Are there any risks associated with the surgery? Will it definitely return to a normal state afterward? Will there be a significant shortening? Is hospitalization required? I apologize for bothering you with so many questions, but I would greatly appreciate your answers.
Thank you.
Sincerely, Xiao Wei.

Xiao Wei, 20~29 year old female. Ask Date: 2004/03/02

Dr. Du Shixi reply Urology

Hello, if there is a curvature of the penis that needs correction, it can generally be addressed in urology departments at hospitals above the regional level.
It should be covered by health insurance according to the regulations set by the National Health Insurance Administration.
After the surgery, the penis will appear normal, but it may be slightly shorter, and hospitalization is required.
A proper assessment must be conducted by a urologist.
Dr.
Du Shih-Hsi of the Urology Department at Miaoli Hospital.

Reply Date: 2004/03/02

More Info

Understanding penile curvature, particularly conditions like Peyronie's disease, can be quite complex and often requires a thorough evaluation by a qualified urologist. Penile curvature can significantly affect sexual function and quality of life, so it’s understandable that you are seeking surgical options to address this issue.

Surgical Options for Penile Curvature
1. Plication Surgery: This is one of the most common surgical procedures for correcting penile curvature. It involves suturing the longer side of the penis to straighten it. This method is generally less invasive and has a lower risk of complications. However, it may not be suitable for all types of curvature, especially if there is significant plaque formation.

2. Incision and Grafting: In cases where the curvature is severe, incision and grafting may be necessary. This technique involves making incisions in the plaque on the curved side and then grafting tissue to the area to allow for straightening. This method can be more complex and may have a higher risk of complications, including changes in penile sensation or erectile function.

3. Penile Prosthesis: For men who also experience erectile dysfunction along with curvature, a penile prosthesis may be an option. This involves implanting a device that allows for an erection and can also help straighten the penis.

Considerations Before Surgery
- Risks: As with any surgical procedure, there are risks involved. These can include infection, bleeding, changes in sensation, erectile dysfunction, and dissatisfaction with cosmetic results. It’s crucial to discuss these risks with your surgeon.

- Success Rates: The success of surgery can vary. Many patients experience significant improvement in curvature and sexual function, but results are not guaranteed. It’s essential to have realistic expectations and to discuss these with your healthcare provider.

- Length Changes: Concerns about penile shortening after surgery are common. While some men may experience a slight decrease in length, many do not. The extent of any change can depend on the surgical technique used and the individual’s anatomy.

- Hospitalization: Most surgeries for penile curvature can be performed on an outpatient basis, meaning you may not need to stay overnight in the hospital. However, this can depend on the specific procedure and your overall health.

Finding a Specialist
In terms of finding a qualified urologist in Kaohsiung, I recommend looking for a urologist who specializes in sexual medicine or reconstructive urology. You can start by checking with local hospitals or medical centers that have urology departments. It’s also helpful to read reviews or get referrals from other patients.

Cost of Surgery
The cost of surgery can vary widely based on the type of procedure, the surgeon’s experience, and the facility where the surgery is performed. Generally, you might expect costs to range from several thousand to tens of thousands of dollars. It’s advisable to consult with your healthcare provider and the hospital’s billing department to get a clear estimate.

Conclusion
Addressing penile curvature is a significant step towards improving your sexual health and overall well-being. It’s important to have a detailed discussion with a urologist who can provide personalized advice based on your specific condition. They can guide you through the options, risks, and expected outcomes, ensuring you make an informed decision. Don’t hesitate to ask questions and express any concerns you may have during your consultations.

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