Many men who have a bent penis need to seek for treatment. And if the reason for the curvature is Peyronie's disease, it is essential to perform surgery to correct the problem for resuming sexual life.
Usually, every surgical procedure raises questions related to the preparation and there are always many concerns about hospitalizations and anesthesia. That is why I am here to deal with this issue with you, who are going through this and need motivation to go forward in the pursuit of proper treatment.
This post is for you to get more information about the preparatory procedures, how it is done and the care that should be taken in the postoperative. I assure you it's not rocket science. With the correct guidelines, the chances of success can only increase.
The secret to the good execution of any surgical procedure is planning. And in the case of Peyronie's Disease, also known as Acquired Curvature, it’s no different.
When diagnosed, you will be recommended to do the doppler ultrasound examination of the corpora cavernosa. If the technical term scares you, I'll explain what it is: it is an examination that will measure the functionality of your penis with an induced erection and high definition color ultrasound. On the screen, you will be able to see everything that goes inside your penis while the best surgical planning is done.
With the images, you can check the existence of fibrosis, whether they are superficial or deep, if there is an erection problem attached to it and you can also measure the vascularization of the penis, that is, how the blood is circulating inside of it.
With the examination results, it will be possible to identify at which stage of Peyronie's disease you find yourself and decide to start treatment with the use of medications, or to go straight to surgery. We also measure the exact degree of curvature to identify the region that will be stretched for correction.
In case that erectile dysfunction is associated with Peyronie's Disease, the placement of the implant will be done in the same procedure. The exams will also indicate the best way to perform it. After that your urologist will talk to you to define the best type of prosthesis to be implanted. Another important fact is to measure if there has been any loss of penile size, so that the reconstruction will be performed and you can leave surgery room with no surprises.
All this evaluation is necessary for the doctor to have a detailed overview of the penile curvature and to program the step by step of the surgery. After that, it is just to make an appointment with your surgeon and wait for it.
It is worth remembering that it is important to use modern methods to heal Peyronie’s Disease, which will recover not only the sexual function, but also the stiffness, size and caliber of the penis, up until the possible limits of the nerves and urethra.
Patients who live in a different city where the surgery will be performed should set aside from 5 to 7 days for the entire procedure: one day for consultation and exams, one day for surgery and some other days for recovering and medical monitoring. Remember that there is no need to sleep in the hospital, which I will explain better now.
If you have already done the consultation and exams previously, this period may be reduced.
The procedure does not require great preparations. As any surgery, it will be necessary to perform blood tests, urine and cardiological evaluation to avoid any delay in the recover. It is important to control glucose levels in order to avoid the risk of an infection or any other problems in the healing process. You will be advised about hygiene of the pubic area with antibacterial soap, which should be done for two days before surgery. Besides that, a fasting of eight hours, both solid and liquid foods, is requested.
With all that done just have a good night of sleep and relax, everything will be fine.
With the planning done and the previous care taken, it is time to straighten the penis and recover the caliber and size to the maximum limit allowed by the nerves and urethra.
The procedure to correct the curvature of Peyronie is not long, the surgery lasts between 2 and 3 hours, it is done only with sedation and local anesthesia. Usually the patient will be admitted to the hospital in the morning and, at the most, in the early afternoon will be discharged to go home.
The doctor and his or her team shave the pubic hair in the surgical center. So you do not have to worry about it, since they will take great care to avoid any risk of infection.
Like the whole procedure, the post-surgical in Peyronie's disease is not very complicated.
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 given the last guidelines so that the healing process starts in the best way.
Your penis will have a bandage and you will not need to remove it for the first five days. After this period, it must be changed daily for another five days. Because of the simplicity of it, it is not necessary that the patient return to the doctor for him to do the bandage. You can do it yourself in a few minutes.
There are three phases for the patient to return to normal life: between 7 and 10 days it is possible to get back to work (if it does not require physical effort), after 30 days physical activities can be resumed and after 45 or 60 days the patient can have sexual relation, after the medical evaluation is done.
The recovery process is even more simple because the surgical stitches are absorbable, preventing the patient from having any discomfort in the future or during intercourse. In about two months, they will all have come out naturally.
To my patients, I offer an accompaniment service during the 60 days of necessary post-surgical care. Whether through WhatsApp, email or by the assistance of a specialized team, you will always be supported, and it can be done on-site or by sending photos and videos to illustrate the recovery of the surgery. We are also at your disposal for any questions you may have.
What now, how about scheduling an appointment and get rid of penile curvature and resume your sex life? You can make contact with me, so we can talk about it and initiate the treatment.
MD, PhD, Dedicado no Tratamento da Doença de Peyronie, Pênis Curvo e Implante de Próteses Penianas. Doutor em Urologia pela USP, CRM 67482, RQE 19514. - Vencedor do Debate do Sobrevivente da AUA em 2019.