Peyronie's Surgery

Peyronie's disease is caused by fibrotic plaques that develop in the tunica albuginea, the white membrane of the penis. These plaques reduce the flexibility of the penis and cause bending during an erection. The curvature can range from mild to severe, potentially making sexual intercourse difficult or impossible.

The exact cause of Peyronie's disease is unknown, but factors such as genetic predisposition, repeated minor trauma to the penis, immune system disorders, and the use of certain medications are thought to play a role.

Peyronie's disease is a condition characterized by the formation of hard tissue called plaque in the shaft of the penis. These plaques can cause the penis to bend during an erection, pain, and deformities that make sexual intercourse difficult or impossible. Peyronie's disease can occur in men of any age, but it is more common between the ages of 40 and 60.

In this comprehensive guide, you will find detailed information about Peyronie's disease and surgical treatment options. We will cover topics such as the causes, symptoms, diagnosis, types of surgery, preoperative and postoperative preparation, risks, and complications.

The most common symptoms of Peyronie's disease include:

• Curvature of the penis: Noticeable bending or twisting of the penis during an erection.
• Hardness in the penis: Feeling of a hard plaque or lump in the shaft of the penis.
• Pain: Pain in the penis during an erection or without an erection.
• Erectile difficulties: Difficulty achieving or maintaining an erection.
• Shortening of the penis: Peyronie's disease can lead to a reduction in penile length.
• Psychological effects: Peyronie's disease can cause low self-confidence, anxiety, and depression in men.

The diagnosis of Peyronie's disease is usually made through a physical examination. The doctor can detect plaques and curvature by examining the penis. In some cases, imaging tests such as ultrasound or magnetic resonance imaging (MRI) may be performed to better visualize the plaques and measure the degree of curvature.

The treatment of Peyronie's disease varies depending on the severity of the condition, symptoms, and patient preferences. Treatment options include:

• Medication: Drugs may be used to reduce plaques and relieve pain. However, medication is not always effective and may not stop the progression of the disease.
• Shockwave therapy: Shockwave therapy can be applied to break down plaques and reduce pain.
• Injection therapy: Medications can be injected into the penis to soften plaques and reduce curvature.
• Surgical treatment: Surgery may be an option for patients with severe curvature, pain, or erectile difficulties.

Peyronie's surgery is a surgical procedure performed to correct curvature of the penis and improve sexual function. The surgery is usually performed under general anesthesia and can be carried out using different techniques.

Types of Peyronie's Surgery:

• Plaque excision and grafting: In this technique, the plaque is surgically removed and replaced with tissue (graft) taken from another part of the body.
• Nesbit procedure: In this technique, tissue on the opposite side of the curvature is shortened, straightening the penis.
• Penile prosthesis implantation: In this technique, an inflatable or bendable prosthesis is placed in the penis. This method is suitable for patients experiencing erectile difficulties due to Peyronie's disease.

Preoperative Preparation:

• Have a detailed consultation with your doctor before surgery and ask all your questions.
• Inform your doctor about your medications, allergies, and medical history.
• Avoid alcohol and smoking in the days leading up to surgery.
• Follow the preoperative fasting instructions given by your doctor.

Postoperative Care:

• Pain, swelling, and bruising in the penis for a few days after surgery are normal.
• You can use painkillers recommended by your doctor.
• Keep your penis clean and dry.
• Change dressings as instructed by your doctor.
• Avoid sexual intercourse for the first few weeks after surgery.
• Attend follow-up appointments with your doctor regularly.

Risks and Complications:

Like any surgery, Peyronie's surgery carries certain risks and complications, including infection, bleeding, delayed wound healing, loss of sensation, shortening of the penis, and erectile difficulties. However, these complications are rare, and risks are further reduced when the surgery is performed by an experienced surgeon.

Peyronie's disease can affect sexual function and quality of life in men. Surgery may be an effective treatment option for patients with severe curvature, pain, or erectile difficulties. By following preoperative preparation and postoperative care instructions, you can achieve a successful surgery and a fast recovery process.

Remember: This information is intended only as a general guide. It is important to discuss all your questions and concerns about the surgery with your doctor.

Reviews from patients who have undergone Peyronie's surgery are generally positive. Especially patients experiencing severe curvature, pain, or erectile difficulties report significant improvements in their quality of life after surgery.

Here are some comments from patients who had Peyronie's surgery:

• "Before the surgery, sexual intercourse was very painful, and I struggled due to the curvature. After the surgery, my pain completely disappeared, and the curvature in my penis was corrected. Now I can enjoy my sex life again." (48-year-old male)
• "My self-confidence was very low due to Peyronie's disease. After the surgery, the curvature in my penis was corrected, and my confidence returned. I now feel more comfortable and happy with my partner." (55-year-old male)
• "I was experiencing erectile difficulties before the surgery. After undergoing penile prosthesis surgery, my erections became strong and firm again. My sex life is active and satisfying as it used to be." (62-year-old male)
• "The recovery process after surgery was a bit challenging, but I am very satisfied with the results. The curvature in my penis was corrected, and I can now have intercourse without pain." (42-year-old male)
• "I had concerns before the surgery, but my doctor provided detailed information and answered all my questions. The surgery was successful, and my recovery was smooth. I am now much happier and more confident." (50-year-old male)

Of course, like any surgery, Peyronie's surgery carries certain risks and does not guarantee the same results for everyone. The success of the surgery depends on factors such as the severity of the disease, the surgeon's experience, and the patient’s adherence to the recovery process.