Post-Operative Pain After Penile Curvature Surgery: What to Expect - Urology

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After undergoing penile curvature surgery, it is not uncommon to experience lingering pain or discomfort for several weeks or even months post-operatively. The procedure you had, known as the tunica albuginea plication or folding technique, is designed to correct curvature by altering the tissue structure of the penis. While the surgery is generally considered safe and effective, the recovery process can vary significantly from person to person.

In your case, experiencing dull pain 46 days post-surgery can be attributed to several factors. Firstly, the healing process of soft tissues can take time, and it is normal for some discomfort to persist as the body repairs itself. The use of absorbable sutures means that they will gradually dissolve over time, but the healing of the surrounding tissues may still be ongoing. If the sutures are still present, they may cause some irritation, but this should diminish as they dissolve.

The pain you describe while walking, riding a bike, or wearing certain types of underwear could be related to several factors:
1. Healing Process: The surgical site may still be sensitive as the tissues heal. This sensitivity can lead to discomfort during physical activities or when pressure is applied to the area.

2. Nerve Sensitivity: Post-surgical pain can sometimes be due to nerve irritation or sensitivity in the area. This can manifest as a dull ache or sharp pain, especially during movement.

3. Scar Tissue Formation: As the incision heals, scar tissue can form, which may be less flexible than the surrounding tissue. This can lead to discomfort, especially if the scar tissue is tight or adherent to other structures.

4. Activity Level: Engaging in activities that put strain on the surgical site, such as cycling or wearing tight underwear, can exacerbate discomfort. It may be beneficial to wear looser-fitting clothing and avoid activities that cause pain until you feel more comfortable.

Regarding your concern about the sutures not absorbing properly, it is essential to follow up with your surgeon if you notice any unusual symptoms, such as increased pain, swelling, or signs of infection. However, if the external appearance of the surgical site is normal and there are no signs of inflammation or infection, it is likely that the healing process is proceeding as expected.

In terms of recovery time, while many patients begin to feel significant improvement within a few weeks, complete healing can take several months. It is essential to be patient and allow your body the time it needs to heal fully. If the pain persists or worsens, or if you have any concerns about your recovery, it is advisable to consult your surgeon for a thorough evaluation. They may recommend physical therapy or other interventions to help manage pain and improve recovery.

In summary, while some discomfort after penile curvature surgery is normal, it is crucial to monitor your symptoms and communicate with your healthcare provider about any concerns. They can provide personalized advice based on your specific situation and help ensure a smooth recovery process.