Penile Fractures: Treatment Options and Costs

Penile fracture

Because I was too vigorous during masturbation, I accidentally fractured my penis about five years ago.
Currently, it bends downwards at about a 45-degree angle during an erection.

1.
Is there a way to treat this? How long would it take?
2.
What is the cost of the surgery? Will health insurance cover it?

ccy, 20~29 year old female. Ask Date: 2000/11/15

Dr. Liu Jianting reply Urology

Penile fracture is a significant injury for the "baby." There may be some curvature, but as long as it does not affect sexual intercourse, it is not a concern.
However, if the curvature prevents vaginal penetration, it is necessary to consult a urologist for a solution.
There are corrective treatment options available, but they may result in a slight shortening of the penis.

Reply Date: 2000/11/15

More Info

Penile fractures, while not as commonly discussed as other types of fractures, can occur due to trauma to the erect penis, often during vigorous sexual activity or masturbation. The condition is characterized by a rupture of the tunica albuginea, the fibrous sheath surrounding the erectile tissue. Your situation, where you experienced a fracture five years ago and are now noticing a significant curvature during erections, suggests that the injury may not have been adequately addressed at the time.

1. Treatment Options: Yes, there are treatment options available for penile fractures, especially if there is a significant curvature or pain during erections. Surgical intervention is often recommended for cases where there is a noticeable deformity or functional impairment. The surgery typically involves repairing the tunica albuginea and may also address any associated injuries to the erectile bodies. If the curvature is due to scar tissue formation (known as Peyronie's disease), additional treatments may be necessary, which can include medications, injections, or further surgical options.

2. Recovery Time: The recovery time after surgery can vary based on the extent of the injury and the surgical technique used. Generally, patients can expect to take about 4 to 6 weeks for initial healing, during which sexual activity should be avoided. Full recovery, including the resolution of any curvature and return to normal function, may take several months. Regular follow-ups with a urologist are essential to monitor healing and address any complications.

3. Cost of Surgery: The cost of surgical treatment for a penile fracture can vary widely depending on several factors, including the healthcare facility, the complexity of the surgery, and whether any additional procedures are required. In the United States, the cost can range from a few thousand dollars to upwards of $10,000 or more. It’s important to consult with your healthcare provider for a detailed estimate based on your specific situation.

4. Insurance Coverage: Whether health insurance will cover the procedure depends on your specific plan and the medical necessity of the surgery. Many insurance plans may cover surgical treatment for penile fractures if it is deemed medically necessary, especially if there is significant functional impairment or pain. It is advisable to contact your insurance provider to understand your coverage options and any out-of-pocket expenses you may incur.

In conclusion, if you are experiencing significant curvature and discomfort during erections, it is crucial to consult a urologist who specializes in penile health. They can provide a thorough evaluation and recommend the best course of action, whether that involves surgical repair or other therapeutic options. Early intervention can help prevent further complications and improve your quality of life.

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