Many men with curved penis ask themselves if this will lead into a problem in their sexual life. Since there are different factors that influence the penile anatomy, this answer can only be clarified after a medical evaluation. However, there are also ways to observe your penis and get yourself to some conclusions.
To begin with, there are cases of Congenital Penile Curvature, when the man is already born with a certain tortuosity. If this does not hinder sexual intercourse or does not cause any psychological problem due to the shape of the penis, there is nothing wrong with it. It is important though to monitor if the tortuosity is stable.
Besides, when a curved penis becomes synonymous of discomfort during sex or cause some kind of shame, it is a sign that you need a more accurate diagnosis to guide you towards a proper treatment. Since there are no clinical methods to correct the Congenital Penile Curvature, a surgical procedure is often necessary for the treatment. There is no reason to be afraid in case you feel frightened of such procedures. The surgery is safe and has a fast recovery.
Correcting this situation is important to prevent other implications resulting from the curved penis, such as Peyronie's Disease, when there is a worsening of the curvature over time.
This post is for those who have identified that they need to undergo this surgery and have questions concerning how it works, how to prepare and how the recovery period is. After all, how long does it take to resume sexual activity? Keep reading and you will know all these details.
The first step in the surgical planning that will correct the curved penis is to evaluate the situation in an erection induced exam. This procedure allows the doctor to assess the degree of curvature, the quality of the erection, and the firmness of the penis. It is common that the quality of the erection is good, however the penis is a little thinner at the base, which increases the chances of folding during penetration and causing trauma.
The curvature happens due to the difference in the elasticity of the penile tissues and it can be to the sides, up or down.The last type is one of the most common in cases of Congenital Curvature and the one that disturbs the most during sexual relations. The unfavorable anatomy provokes difficulties in penetration and presents the danger of the penis escaping and suffering a more serious impact. In some cases that can evolve into Peyronie's Disease and bring undesirable consequences such as erectile dysfunction. This is why it is important to be cautious.
Speaking of erectile dysfunction, this is not a recurrent condition in cases of congenital curvature. Unlike Peyronie's disease, in which there may be an erection problem associated with penile curvature, most men who have the curvature since birth do not need to combine a treatment with the placement of a penile implant.
As important as the technical planning before surgery is to understand its functional, aesthetic and psychological aspects. Proper treatment will help the man to maintain a healthy sexual life without worrying about a possible discomfort or penile traumas, as well as regaining his caliber and size up to the possible limits of the nerves and of the urethra. This directly reflects on improving your self-esteem and confidence.
The procedure does not require extraordinary preparation. As with any other surgery, it will be necessary to perform blood tests to avoid any setback. In addition, a fasting of eight hours, both solid and liquid, is required before the start of surgery. You will also be advised about hygiene of the pubic area with an antibacterial soap, which should be done for two days before surgery.
With the planning done and the previous care taken, it's time to schedule the surgery to straighten the penis. The day before surgery, all you need is a good night's sleep, knowing that everything is under control.
The surgery to straighten the penis does not take long, lasts between 2 and 3 hours. In addition, it is done only with sedation and local anesthesia, which does not require hospital overnight. Usually the patient will get to the hospital in the morning and, at the most, in the early afternoon he will be discharged to go home.
The doctor and his or her team will shave the pubic hair in the surgical center. Therefore, you do not need to worry about this, since they will take great care so there is no risk of infection.
It is indicated to perform the surgery considering a penile reconstruction, which is, using the Egydio Technique for the expansion of the penile tissues .This procedure consists of increasing the short side of the penis, without the use of additional tissue (or surgical graft). Since there was no loss of the previous size, as in cases of Peyronie's disease, the man still gains a few centimeters in the length of the penis. The traditional techniques, still used by some doctors, correct the penis with the use of plication and the consequent diminution of its length. It is worth to discuss with your doctor about the possibilities and clarify the pros and cons of each one of them.
If the penis is not completely straight with the use of the Egydio Technique, which measures the tissues and applies the correction by increasing the smaller side of the penis, it is still possible to apply the Stage Technique in the same procedure. It is a refinement technique applied at the end of the surgery that straightens even more the penis by the use of micro plication on the long side, without the loss of its size.
After performing the surgery to straighten the penis, simply follow the guidelines of the postoperative period. I assure you that it is not a complicated process.
The return to the doctor happens on the same day of the surgery, in the afternoon. In this consultation, the success of the surgery will be evaluated and the patient will receive the last guidelines so that the healing happens in the best possible way.
Your penis will have a bandage and you do not need to remove it for the first five days. After this period, it must be changed daily for other five days. Because of the simplicity of it, it is not necessary that the patient return to the doctor for him to do the procedure. You can do it yourself in a few minutes.
Penile physiotherapy may be recommended to a straight cicatrization and maintain the size and caliber of penis that have been recovered. It consists of simple exercises, performed by the patient himself and that make all the difference at the end of the treatment.
Besides that, the use of medications to inhibit erection in the first few days after surgery is indicated to prevent bruising, preserve surgical points and make the recovery process efficient. It is important to know this and discuss these details with the doctor who is watching your case.
Finally, there are three steps for the patient to return to a normal life: between 7 and 10 days, it is possible to return to work if it does not require physical effort; after 30 days, you can resume physical activities and from 45 to 60 days to resume sexual life.
The recovery process is simple because the stitches on the penis are absorbable, preventing the patient from having any discomfort in the future or during sexual intercourse. In about two months, they will all have come out naturally.
To my patients, I offer a follow up service during the 60 days of necessary post-surgical care. Whether through WhatsApp or by the support of a specialized team, you will always be supported and can be taken care of at a distance, sending pictures and videos to illustrate the recovery of the surgery. We are also at your disposal for any questions you may have.
Now, how about scheduling an appointment? That is the first step in dealing with the problem of curved penis, which may be hindering you from maintaining a healthy and happy sexual life.
I await your contact, so we can talk about it and initiate the treatment.
MD, PhD, Referência Mundial no Tratamento da Doença de Peyronie, Pênis Curvo e Implante de Próteses Penianas. Doutor em Urologia pela USP, CRM 67482.