Penile Curvature: Treatment Options and Insurance Coverage

Penile curvature

Hello, doctor.
I would like to ask if your hospital offers penile correction surgery.
If so, is it covered by health insurance? My penis tends to curve to the right when erect, and the curvature is quite severe.
Additionally, I often experience premature ejaculation.
These issues have troubled me for many years.
I hope Dr.
Tsai can help answer my questions.
Thank you.

Shen Shou, 20~29 year old female. Ask Date: 2004/04/06

Dr. Cai Bingkun reply Urology

Men should focus on the function of their genitalia rather than its appearance.
As long as they can be with their sexual partners, it doesn't matter if the penis is curved or not; marriage and having children are not an issue.
There is no need to worry excessively unless there is an inability to engage in sexual intercourse (a curvature greater than 45 degrees) or if it causes significant psychological distress, in which case surgical correction may be necessary, and health insurance should cover it.

Regarding premature ejaculation, also known as "premature ejaculation," there are various definitions.
Clinically, behavioral therapy is employed to reduce sensitivity, along with medications for relaxation and calming.
There have even been attempts to treat it surgically.
Recently, a physician in South Korea developed a topical ointment containing various traditional and Western medicinal ingredients, which has shown remarkable effects.
It's quite complex, so if you have the opportunity, please consult a urologist for more detailed discussion.

Reply Date: 2004/04/06

More Info

Understanding penile curvature, particularly in the context of conditions like Peyronie's disease, is essential for addressing the concerns of patients experiencing discomfort or functional difficulties. Penile curvature can manifest as a bend or deformity of the penis during erection, which can lead to pain, difficulty during intercourse, and psychological distress.

Treatment Options
1. Observation: In cases where the curvature is mild and does not cause significant discomfort or functional issues, a "watchful waiting" approach may be recommended. Many men find that the condition stabilizes over time.

2. Medications: There are several oral medications and injections that may help reduce curvature and pain. For instance, collagenase clostridium histolyticum (Xiaflex) is an FDA-approved injectable treatment specifically for Peyronie's disease. It works by breaking down the collagen buildup that causes the curvature.

3. Vacuum Devices: Vacuum erection devices can help in some cases by creating an erection and stretching the penis, which may help reduce curvature over time.

4. Surgery: In cases where the curvature is severe and causes significant problems, surgical options may be considered. Surgical procedures can involve:
- Plication: Shortening the side of the penis opposite the curvature to straighten it.

- Grafting: Removing the plaque causing the curvature and replacing it with a graft.

- Penile prosthesis: In cases of severe curvature and erectile dysfunction, a penile implant may be recommended.

5. Physical Therapy: Some patients may benefit from penile traction therapy, which involves using a device to gradually stretch the penis over time.

Insurance Coverage
Insurance coverage for treatments related to penile curvature can vary significantly based on the specific plan and the nature of the treatment. Generally, non-invasive treatments like medications and vacuum devices may be covered, but surgical options often require prior authorization.
- Consultation with a Urologist: It is crucial to consult with a urologist who specializes in male sexual health. They can provide a thorough evaluation and discuss the most appropriate treatment options based on the severity of the curvature and associated symptoms.

- Insurance Verification: Before proceeding with any treatment, it is advisable to contact your insurance provider to verify coverage for specific treatments. This can include checking whether consultations, medications, and surgical procedures are covered under your plan.

Conclusion
If you are experiencing significant penile curvature that affects your quality of life, it is important to seek medical advice. A urologist can provide a comprehensive assessment and discuss the best treatment options tailored to your needs. Additionally, understanding your insurance coverage will help you make informed decisions about your treatment plan. Don't hesitate to reach out for help; many men face similar challenges, and effective treatments are available.

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