Managing Pain After Penile Curvature Surgery: What to Do Next?

Q: Managing Pain After Penile Curvature Surgery: What to Do Next?

Private Area： Hello, you can start by making a small incision to remove the thread. <br>If discomfort persists, a circumcision may be necessary. <br>If there are any unclear points, feel free to ask again so we can discuss and research further. <br>Answers from the internet shoul

After correcting penile curvature, if the sutures at the base have ruptured, it may cause pain?

Hello, doctor: Over two years ago, I underwent a procedure due to my girlfriend's discomfort.
However, the sutured area at the base has since broken, with some suture material protruding.
I experience discomfort during erections.
I followed up at Kaohsiung Medical University Hospital a year post-surgery, but the doctor suggested monitoring the area to see if tissue would cover the protruding suture, advising against frequent surgeries.
Recently, in the past month or two, I have started to feel pain during erections, especially during intercourse.
Wearing a condom exacerbates the pain due to pressure on the protruding suture.
Do I need to undergo another surgery? If it's just a single suture at the base that needs to be addressed, will it require a complete circumferential excision of the skin like before, or can it be managed by making a small incision at the base to remove the suture?

Sijia Zhongdi, 30~39 year old female. Ask Date: 2012/07/09

Dr. Xu Weikai reply Urology

Private Area: Hello, you can start by making a small incision to remove the thread.
If discomfort persists, a circumcision may be necessary.
If there are any unclear points, feel free to ask again so we can discuss and research further.
Answers from the internet should only serve as a reference; if needed, it is essential to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan, who cares about your well-being.

Reply Date: 2012/07/09

More Info

Managing pain after penile curvature surgery can be a complex issue, especially when complications arise from previous procedures. It’s important to address both the physical discomfort and the psychological aspects of recovery. Here’s a comprehensive approach to managing your pain and determining the next steps.

Understanding Your Pain
1. Nature of Pain: The pain you are experiencing during erections and sexual activity, particularly when using a condom, may be due to the exposed suture or scar tissue at the base of the penis. This can lead to discomfort during erections as the tissue stretches and may not be able to accommodate the pressure adequately.

2. Complications from Previous Surgery: The fact that you have a suture that is protruding and causing discomfort suggests that there may be an issue with healing or tissue integration. This can lead to pain during sexual activity, as the area may be sensitive or inflamed.

Immediate Pain Management Strategies
1. Pain Relief Medications: Over-the-counter pain relievers such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) can help manage pain. However, it’s crucial to follow the recommended dosages and consult with your healthcare provider if you have any underlying health conditions or are taking other medications.

2. Cold Compresses: Applying a cold compress to the area can help reduce swelling and numb the pain. Ensure that the compress is not applied directly to the skin; wrap it in a cloth to avoid frostbite.

3. Avoiding Irritation: During this period, it’s advisable to avoid activities that may exacerbate the pain, such as vigorous sexual activity or tight clothing that may put pressure on the area.

When to Seek Further Medical Attention
1. Persistent Pain: If the pain persists despite taking over-the-counter medications, or if it worsens, it is essential to consult your urologist. They may need to evaluate the area to determine if there is an underlying issue that requires intervention.

2. Suture Management: Regarding the protruding suture, it’s important to discuss with your doctor whether it can be removed or if it requires a more extensive procedure. In some cases, a small incision may be sufficient to address the issue without needing to perform a complete circumferential excision.

3. Surgical Considerations: If surgery is deemed necessary, your urologist will discuss the options with you. They may recommend a minor procedure to remove the suture or repair the area without extensive surgery. It’s crucial to have a clear understanding of the risks and benefits of any surgical intervention.

Preparing for Your Next Appointment
1. Document Symptoms: Keep a record of your symptoms, including when the pain occurs, its intensity, and any activities that exacerbate it. This information will be valuable for your healthcare provider in diagnosing the issue.

2. Questions to Ask: Prepare a list of questions for your doctor, such as:
- What are the potential causes of my pain?
- Is the protruding suture causing my discomfort?
- What are my options for treatment?
- What can I do to manage my pain in the meantime?
3. Discussing Sexual Activity: Be open with your doctor about your sexual activity and any discomfort you experience. They can provide guidance on when it is safe to resume sexual activity and how to do so comfortably.

Conclusion
Managing pain after penile curvature surgery requires a multifaceted approach that includes pain management strategies, careful monitoring of symptoms, and open communication with your healthcare provider. If you experience persistent or worsening pain, do not hesitate to seek medical advice. Your urologist can provide tailored recommendations based on your specific situation, ensuring that you receive the appropriate care and support for your recovery.

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