Penile Curvature and Phimosis: Surgical Options Explained - Urology

Share to:

Penile curvature and phimosis?


Hello, doctor.
My penis has a slight curve to the left when not erect (I remember this starting from the second year of junior high; previously, it was not curved to the left).
Therefore, the angle of curvature is even greater when erect.
Additionally, the glans cannot be exposed when erect (i.e., I have phimosis).
Doctor, are penile correction surgery and circumcision two separate procedures, or can they be addressed in one surgery?

H, 30~39 year old female. Ask Date: 2009/11/17

Dr. Xu Weikai reply Urology


Hello, penile correction surgery and circumcision can be performed together without any conflict.
If there are any details that are not clear, feel free to ask again, and we can discuss and research further.
Sincerely, Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2009/11/17

More Info


When addressing penile curvature and phimosis, it's essential to understand the nature of both conditions and the surgical options available. Penile curvature, often referred to as Peyronie's disease when it involves significant curvature due to fibrous plaque formation, can lead to discomfort during sexual activity and may affect self-esteem. Phimosis, on the other hand, is a condition where the foreskin cannot be retracted over the glans (the head of the penis), which can lead to hygiene issues, pain, and potential complications like infections.


Surgical Options
1. Penile Curvature Surgery: This surgery is typically performed to correct significant curvature that causes pain or difficulty during erections. The most common surgical techniques include:
- Plication Techniques: This involves suturing the longer side of the penis to straighten it. It is less invasive and has a lower complication rate.

- Grafting Techniques: If there is significant plaque formation, a graft may be placed to help straighten the penis. This is more complex and may involve a longer recovery time.

- Penile Prosthesis: In cases where curvature is accompanied by erectile dysfunction, a penile prosthesis may be considered, which can also help straighten the penis.

2. Circumcision for Phimosis: This is a straightforward procedure where the foreskin is removed, allowing for easier retraction and hygiene. In some cases, a less invasive approach, such as a preputioplasty, may be performed, which involves widening the opening of the foreskin without complete removal.


Combining Surgeries
In many cases, penile curvature surgery and circumcision can be performed simultaneously, especially if both conditions are present. This approach can be beneficial for several reasons:
- Single Anesthesia: Undergoing both procedures at once means the patient only needs to undergo anesthesia once, reducing overall risk and recovery time.

- Reduced Recovery Time: Having both issues addressed in one surgical session can lead to a more efficient recovery process, as the patient will only need to heal from one surgical site.

- Comprehensive Solution: Addressing both conditions at the same time can lead to improved functional and aesthetic outcomes, enhancing the overall satisfaction of the patient.


Considerations
Before proceeding with surgery, it is crucial to have a thorough consultation with a urologist or a surgeon specializing in penile surgery. They will assess the degree of curvature, the severity of phimosis, and any other underlying conditions that may affect surgical outcomes.
- Risks: As with any surgery, there are risks involved, including bleeding, infection, scarring, and potential changes in sensation or erectile function. Discussing these risks with your surgeon will help you make an informed decision.

- Postoperative Care: Following surgery, patients will need to follow specific postoperative care instructions to ensure proper healing and minimize complications. This may include avoiding sexual activity for a certain period and maintaining hygiene.


Conclusion
In summary, penile curvature and phimosis can be addressed through surgical intervention, and in many cases, these surgeries can be performed simultaneously. It is essential to consult with a qualified healthcare provider to discuss the best approach tailored to your specific needs and to ensure a thorough understanding of the procedures, risks, and expected outcomes. This will help you make an informed decision and achieve the best possible results for your health and well-being.

Similar Q&A

Understanding Penile Curvature: Causes, Treatment Options, and Recovery

Hello doctor, I have a concern about the curvature of my penis (60-90 degrees), which makes sexual intercourse difficult. I experienced an impact during childhood (not sure if it's related), and there is a small dark lump on the ventral side of the penis at the site of the c...


Dr. Xu Weikai reply Urology
Hello, penile curvature can be corrected through surgery. For information regarding costs, you can contact the relevant hospital or the National Health Insurance Administration. Recovery after surgery typically takes about 2 to 6 months. As for resuming sexual activity, it depend...

[Read More] Understanding Penile Curvature: Causes, Treatment Options, and Recovery


Understanding Penile Curvature Correction: Surgical Options Explained

Hello: What are the methods for correcting penile curvature surgery? Are there two different approaches? Is there a surgical option that does not require hospitalization? Approximately how much will the length be reduced post-surgery?


Dr. Cai Bingkun reply Urology
Currently, most procedures utilize the approach of "straightening the curve and shortening the long side." Postoperative penile length is typically about 1 to 2 centimeters shorter than the original length, and hospitalization is usually required. However, there is anot...

[Read More] Understanding Penile Curvature Correction: Surgical Options Explained


Understanding Penile Curvature: Surgery Options and Considerations

Hello, doctor. I would like to inquire about issues related to penile curvature. I have previously undergone hernia surgery, and I have now noticed that my penis bends to the left at about a 30-degree angle during erection. I have the following questions: 1. Is my development c...


Dr. Jian Weihong reply Urology
Hello: 1. Determining complete development is difficult and usually includes factors such as increased height, muscle and bone development, voice changes, maturation of the genitalia, growth of pubic hair, and facial hair growth. Physical maturation and development may continue f...

[Read More] Understanding Penile Curvature: Surgery Options and Considerations


Understanding Penile Correction Surgery: Methods, Outcomes, and Risks

What are the surgical methods for penile correction? How is the correction performed? Will there be any residual effects? Thank you.


Dr. Pan Zhenqin reply Urology
I would like to discuss the corrective surgery for penile curvature. This procedure is performed under regional anesthesia, where the tunica albuginea of the penile corpora is simply sutured in the opposite direction of the curvature to straighten the penis. The surgery is genera...

[Read More] Understanding Penile Correction Surgery: Methods, Outcomes, and Risks


Related FAQ

Phimosis

(Urology)

Phimosis

(Surgery)

Urethra

(Surgery)

Erection

(Urology)

Glans Penis

(Urology)

Varicocele

(Urology)

Hypospadias

(Urology)

Epididymis

(Urology)

Cryptorchidism

(Urology)

Homosexual

(Urology)