Penile Curvature: When to Consider Surgery and Costs

Q: Penile Curvature: When to Consider Surgery and Costs

Anonymous： Hello, surgery is generally recommended when the angle exceeds 30 degrees. <br>However, if it affects sexual intercourse, surgical correction is necessary regardless of the angle. <br>The cost varies by hospital, so it's best to consult with a physician during an outpa

Penile correction

If the curvature of the penis exceeds a certain degree, surgical intervention may be necessary.
Generally, a curvature of more than 30 degrees is considered significant enough to warrant surgery.
The cost of corrective surgery can vary widely, typically ranging from $5,000 to $15,000, depending on the specific procedure and the healthcare facility.

Hospitalization may be required, usually for one to two days, depending on the individual's condition and the complexity of the surgery.
The duration of the surgery itself typically lasts about one to two hours.

In addition to surgery, there are other treatment options available, such as penile traction therapy or the use of medications, but their effectiveness may vary.
It is important to consult with a qualified urologist to discuss the best course of action based on your specific situation.
Thank you for your inquiry.

Niming, 10~19 year old female. Ask Date: 2012/06/24

Dr. Xu Weikai reply Urology

Anonymous: Hello, surgery is generally recommended when the angle exceeds 30 degrees.
However, if it affects sexual intercourse, surgical correction is necessary regardless of the angle.
The cost varies by hospital, so it's best to consult with a physician during an outpatient visit.
The surgery typically takes about 60 to 120 minutes, depending on the condition.
Other treatment options are generally not effective.
If you have further questions, feel free to ask for more discussion and research.
Responses on the internet should only be used as a reference; it is essential to seek medical care at a healthcare facility if necessary.
This message is from Dr.
Hsu Wei-Kai, Chief of Urology at Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2012/06/24

More Info

When it comes to penile curvature, particularly when the curvature exceeds 30 degrees, it is often recommended to consider surgical intervention. This is especially true if the curvature causes pain, discomfort, or difficulties during sexual intercourse. The condition, known as Peyronie's disease, can lead to significant psychological distress and relationship issues if left untreated.

When to Consider Surgery
Surgery is typically considered when:
1. The curvature is severe (generally over 30 degrees).

2. There is associated pain during erections.

3. The curvature interferes with sexual function.

4. The condition has stabilized, meaning it has not changed significantly for at least six months.

Types of Surgical Procedures
There are several surgical options available for correcting penile curvature:
1. Plication Surgery: This is the most common procedure for correcting curvature. It involves suturing the longer side of the penis to straighten it. This is a relatively quick procedure and usually performed under local anesthesia.

2. Grafting Surgery: This is more complex and involves removing the plaque causing the curvature and replacing it with a graft. This is typically reserved for more severe cases.

3. Penile Implants: In cases where there is significant erectile dysfunction along with curvature, penile implants may be considered. This option is more invasive and involves a longer recovery time.

Costs of Surgery
The cost of penile curvature surgery can vary widely based on the type of procedure, the surgeon's experience, and the geographical location. Generally, you can expect the following:
- Plication Surgery: Costs can range from $5,000 to $15,000.

- Grafting Surgery: This can be more expensive, often ranging from $10,000 to $20,000.

- Penile Implants: These can cost upwards of $20,000, including the device and surgical fees.

Insurance coverage for these procedures can vary, so it’s essential to check with your provider to understand what is covered.

Hospital Stay and Recovery Time
Most penile curvature surgeries are performed on an outpatient basis, meaning you may not need to stay overnight in the hospital. However, if complications arise or if you undergo a more extensive procedure, a short hospital stay may be necessary.
Recovery time can vary:
- Plication Surgery: Patients may return to normal activities within a few days, but sexual activity is typically advised to be avoided for about 4-6 weeks.

- Grafting Surgery: Recovery may take longer, often around 6-8 weeks before resuming sexual activity.

- Penile Implants: Recovery can take several weeks, and full healing may take up to three months.

Other Treatment Options
If surgery is not an option or if you prefer to explore non-surgical methods, there are a few alternatives:
1. Medications: Some oral medications or injections may help reduce plaque formation or curvature.

2. Vacuum Devices: These can help with erectile function and may assist in straightening the penis over time.

3. Physical Therapy: Some patients find that stretching exercises can help improve curvature.

In conclusion, if you are experiencing significant curvature of the penis, especially if it exceeds 30 degrees, it is advisable to consult with a urologist who specializes in penile conditions. They can provide a thorough evaluation and discuss the best treatment options tailored to your specific situation.

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