When Penile Surgery is Necessary: A Urology Guide

Penile surgical treatment

Doctor, what kind of penis requires surgery? Is it for premature ejaculation or erectile dysfunction?

Kùzi Wáng, 10~19 year old female. Ask Date: 2015/08/12

Dr. Xu Weikai reply Urology

Hello, I don't understand your meaning.
Conditions such as penile curvature, penile tumors, phimosis, erectile dysfunction, and premature ejaculation can be surgically corrected in some cases.
If you have any concerns, you can visit a nearby medical facility for relevant examinations.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare institution.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/08/12

More Info

When it comes to penile surgery, it's essential to understand the various conditions that may necessitate surgical intervention. In urology, surgeries related to the penis can be indicated for a range of issues, including but not limited to congenital abnormalities, trauma, erectile dysfunction, and conditions like Peyronie's disease.
1. Congenital Abnormalities: Some individuals are born with conditions such as hypospadias (where the urethra opens on the underside of the penis) or penile curvature. These conditions may require surgical correction to ensure normal function and appearance.

2. Trauma: Injuries to the penis, whether from accidents or sexual activity, can lead to complications that necessitate surgical repair. This may include fractures of the penile shaft or lacerations that require suturing.

3. Erectile Dysfunction (ED): While many cases of ED can be managed with medications or vacuum devices, some patients may opt for surgical options. Penile implants are a surgical solution for men who have not found success with other treatments. This involves placing a device inside the penis that allows for an erection.

4. Peyronie's Disease: This condition involves the development of fibrous scar tissue inside the penis, leading to curved, painful erections. In severe cases, surgery may be indicated to remove the plaque or to straighten the penis.

5. Penile Cancer: Surgical intervention is often necessary for the treatment of penile cancer, which may involve partial or total penectomy (removal of part or all of the penis) depending on the extent of the disease.

6. Phimosis and Paraphimosis: Phimosis is a condition where the foreskin cannot be retracted over the glans, which can lead to pain and infection. Paraphimosis occurs when the retracted foreskin cannot be returned to its normal position, leading to swelling and potential complications. Both conditions may require surgical intervention, such as circumcision.

Regarding your specific mention of premature ejaculation (PE) and erectile dysfunction (ED), these conditions are typically not treated with surgery. PE is often managed through behavioral techniques, medications, or counseling, while ED is usually treated with oral medications, injections, or vacuum devices before considering surgical options.

In summary, penile surgery is indicated for specific medical conditions that affect the structure or function of the penis. If you or someone you know is experiencing issues related to the penis, it is crucial to consult a urologist who can provide a thorough evaluation and discuss the most appropriate treatment options, which may or may not include surgery. Always remember that surgical interventions carry risks and should be considered carefully in consultation with a qualified healthcare provider.

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