Downward Curvature of the Penis: New Non-Surgical Solutions - Urology

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Downward curvature of the penis?


Hello, doctor.
Since I was young, I've felt that my penis is different from others; its base is angled upwards at about 70 degrees but gradually bends downwards.
Although it doesn't cause significant issues during sexual activity, it can be inconvenient during insertion.
Recently, I saw online that there are new techniques for correcting curvature that don't require hospitalization or surgery, only sutures, and can be completed in about 30 minutes.
I am very interested in trying this, but I have many questions:
1.
If the needle-suture method is used to correct penile curvature, where will the knots be located? Will they be at the original site of curvature?
2.
After using this method for correction, how long will it take before I can engage in sexual intercourse? In the long term, will there still be occasional pain during erections?
3.
What is the approximate out-of-pocket cost for the needle-suture procedure? Is there any insurance coverage available?
Lastly, I am from Central Taiwan; do you have any recommendations for hospitals in Taichung or Nantou that offer this procedure? Thank you!

DUSTY, 20~29 year old female. Ask Date: 2006/05/04

Dr. Lin Hexing reply Urology


Hello DUSTY: Penile curvature varies in severity.
Since it does not prevent you from having intercourse, it is advisable to coexist with it rather than assuming that surgery will definitely improve the situation.
Whether hospitalization is required or if it can be done with just sutures in about 30 minutes varies from person to person.
Of course, if surgery is necessary, it is covered by health insurance.
If you are very concerned, I can suggest that you consult Dr.
He Haozhong in the Urology Department at Taichung Veterans General Hospital for further evaluation to determine whether surgical correction is appropriate.
You can resume sexual activity six weeks post-surgery, but occasional pain during erections may occur in the long term.

Reply Date: 2006/05/04

More Info


Understanding the downward curvature of the penis, also known as penile curvature or Peyronie's disease, can be a source of concern for many men. While some curvature is normal, significant bending can lead to discomfort during sexual intercourse or other issues. Fortunately, there are new non-surgical solutions available that may help correct this condition without the need for invasive surgery. Below, I will address your questions and provide additional information on this topic.

1. Needle Suturing Technique: The needle suturing technique, often referred to as plication, involves placing sutures in the tunica albuginea (the fibrous sheath surrounding the erectile tissue of the penis) to correct the curvature. The sutures are typically placed on the side opposite the curvature to effectively straighten the penis. The knots of the sutures may be located at the site of the curvature, but they are usually positioned in a way that minimizes visibility and discomfort. The goal is to create a more balanced shape without leaving prominent knots that could cause irritation.

2. Recovery Time and Sexual Activity: After undergoing a needle suturing procedure, most patients can expect a recovery period of about 4 to 6 weeks before resuming sexual activity. During this time, it is crucial to follow your surgeon's post-operative care instructions to ensure proper healing. As for long-term effects, while many patients report significant improvement in curvature and sexual function, some may experience occasional discomfort or pain during erections. This can vary from person to person, and it is essential to communicate any ongoing issues with your healthcare provider.

3. Cost and Insurance Coverage: The cost of the needle suturing procedure can vary widely depending on the healthcare facility and the specific techniques used. On average, patients may expect to pay anywhere from $3,000 to $10,000 out-of-pocket for this type of treatment. It is advisable to check with your insurance provider to see if any part of the procedure is covered, as coverage can differ based on the policy and the medical necessity of the treatment.

4. Finding a Qualified Provider: If you are located in central Taiwan, specifically in Taichung or Nantou, it is advisable to seek out urologists or sexual health specialists who have experience with penile curvature treatments. You can start by consulting with local hospitals or clinics that specialize in urology. It may also be helpful to look for patient reviews or ask for recommendations from healthcare professionals to ensure you find a qualified surgeon.

In conclusion, while the downward curvature of the penis can be a source of concern, there are effective non-surgical options available. The needle suturing technique offers a promising solution for those seeking to correct curvature without the need for extensive surgery. As always, it is essential to have a thorough discussion with your healthcare provider to understand the risks, benefits, and expected outcomes of any treatment option. They can provide personalized advice based on your specific situation and help you make an informed decision.

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