PENILE CURVATURE SURGERY

This is a procedure to correct curvature of the penis during erection due to Peyronie’s disease or congenital abnormalities.

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Indications

It is recommended for patients in whom penile curvature impedes sexual intercourse.

Surgical correction should be performed after at least 3 months of stabilization of the curvature, and when the patient has no pain at the point of curvature.

Preparation

On admission to the hospital there is a pre-operative assessment which will include:

• Blood tests
• Urine tests
• Chest X-ray
• Cardiac assessment

If you are on anticoagulant (blood-thinning) medication, it is recommended that this is discontinued or is replaced with an alternative a few days prior to the procedure.

How the surgical correction of penile curvature is performed

The procedure may be performed under general or epidural anesthesia.

With the patient in the supine position, local antiseptic is administered to the area.

Then a circumferential incision is made around the glans and the skin is reflected.

An artificial erection is induced to assess the location and extent of the curvature.

Subsequently, the curvature is corrected and the procedure is completed by performing a classic circumcision.

At the end of the procedure elastic bandage is applied to the body of the penis which is removed on the first postoperative day.

The patient remains in hospital for 2-3 days on average.

After the procedure

During the first days following the procedure, the patient is likely to feel pain at the site of the procedure, which is treated with analgesic medication.

Edema and swelling may also be apparent, as well as bruising, which resolve approximately two weeks after the procedure.

At discharge you will receive instructions regarding:

• Antibiotic medication you need to take
• Avoiding strenuous exercise and sexual intercourse for at least 3 weeks
• Resuming any anticoagulant medication you may have been taking prior to the procedure