Penile Curvature: Causes, Treatment Options, and Recovery - Urology

More Info

---

Understanding penile curvature, particularly when it is significant (60-90 degrees), can be a source of concern for many individuals. This condition, often referred to as Peyronie's disease, can result from various factors, including trauma, genetic predisposition, or other underlying health issues. In your case, the history of trauma during childhood could potentially be a contributing factor to the curvature you are experiencing.


Causes of Penile Curvature
The primary cause of penile curvature is the formation of fibrous scar tissue (plaque) within the penis, which can lead to bending during erections. This plaque can develop due to trauma, as you mentioned, or it may arise without any identifiable cause. Other factors that may contribute include genetic factors, connective tissue disorders, or even certain medical conditions such as diabetes.


Treatment Options
When it comes to treatment, options vary based on the severity of the curvature and the symptoms experienced. Here are some common approaches:
1. Observation: If the curvature is mild and does not interfere with sexual function, a "watchful waiting" approach may be recommended.

2. Medications: Some medications can help reduce pain and may assist in the reduction of plaque formation. However, their effectiveness can vary.

3. Injections: Intralesional injections of medications such as collagenase clostridium histolyticum can help break down the plaque and reduce curvature.

4. Surgery: For significant curvature that affects sexual function, surgical options may be considered. Surgical procedures can involve:
- Plication: Shortening the side of the penis opposite the curvature.

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

- Penile prosthesis: In cases where erectile dysfunction is also present.


Surgical Considerations
Regarding your specific questions about surgery:
- Health Insurance: In many regions, including Taiwan, certain surgical treatments for Peyronie's disease may be covered by health insurance, but this can vary. It is best to consult with your healthcare provider or insurance company for specifics.

- Privacy: Typically, medical records are confidential, and your family would not be informed about your condition or treatment unless you choose to share that information.

- Hospital Stay: Surgery for penile curvature usually requires a short hospital stay, often just one night, depending on the procedure and your overall health.

- Anesthesia: Most surgical procedures for this condition are performed under general anesthesia or regional anesthesia, depending on the specific approach and the surgeon's preference.

- Surgery Duration: The surgery itself typically lasts between one to two hours, but this can vary based on the complexity of the case.

- Recovery Time: Recovery can take several weeks, and it is generally advised to avoid sexual activity for at least 4-6 weeks post-surgery to allow for proper healing.


Post-Surgery Expectations
After surgery, some men may notice changes in penile length or rigidity. While some procedures may result in a slight decrease in length, others may maintain or even improve length and function. It is essential to discuss these potential outcomes with your surgeon beforehand.


Recommendations for Care
In terms of finding a qualified surgeon, it is advisable to seek out a urologist with experience in treating Peyronie's disease. You can inquire at reputable hospitals in Kaohsiung, such as Kaohsiung Medical University Hospital or Chang Gung Memorial Hospital, and ask for referrals to specialists in this area.


Conclusion
Navigating the complexities of penile curvature can be challenging, but understanding your options and seeking professional guidance is crucial. If you have further questions or concerns, consider scheduling a consultation with a urologist who can provide personalized advice and treatment options tailored to your situation. Remember, you are not alone in this, and many men face similar challenges.