Congenital Penile Curvature

 

Surgical Treatment of Congenital Penile Curvature

The objective of surgical treatment of Congenital Penile Curvature is 3-fold:

  • Restore a straight penis and minimize any residual curvature

  • Minimize any penile length loss due to the operation

  • Minimise the potential for any minor complication such as hematoma, reduction in penis sensitivity etc.

The first step to a successful treatment is to choose the surgical technique best suited to the individual patient. At International Andrology, our extensive experience in penile curvature surgical correction allows us to offer ALL modern surgical options. We will guide our patients to the treatment that will ensure best possible results.

Irrespective of the surgical technique employed, all operations performed in our clinic are minimally invasive, day-care and to-date we have reported a much higher success rate compared to that reported in medical publications. In particular:

  • Our surgeons have vast experience with surgical penile curvature correction having performed in excess of 1500 curvature correction operations

  • Our success rate across our clinics to date (meaning no severe complications, no curvature recurrence and patient satisfaction) is over 95% which is significantly higher than the experience reported in medical publications

  • All surgical techniques we offer are minimally invasive and day-care meaning that our patients can go home and function normally (excluding heavy physical activity) the very same day of their operation

  • Based on the shared experience of our doctors, we have developed state of the art post-surgical follow up protocols that assist in achieving a speedy and complication-free recovery

  • Our surgeons and patient coordinators are on call 24/7 and will continuously follow-up with our patients after their surgery so as to ensure their well-being and provide the best patient care

To find out more about the surgical treatment of Congenital Penile Curvature, then please contact our Patient Co-ordination team on 02030513060 or read our Frequently Asked Questions below.

Congenital Penile Curvature Surgery Frequently Asked Question’s

Which is the best surgical technique?

In general, we do not believe there are singular best techniques but rather the most experienced surgeons. All the techniques we employ have been significantly improved by our surgeons and our success rates are extremely high and consistent irrespective of the technique.

All surgical techniques have advantages and disadvantages depending on an individual patient’s profile. The most important thing is that the appropriate technique is chosen for the most suitable patient.

Am I a good candidate for surgical treatment?

Surgery is the only treatment option for congenital penile curvature. In general, most patients will opt for surgical correction if the curvature angle is larger than 30 degrees and the curvature causes them significant concern. Since most patients notice their curvature at a young age, we usually suggest to them to wait until they are at least 18 before seeking treatment

Assuming that surgery is the only indicated treatment option and there are no contra-indications except being healthy enough for general anaesthesia, you may be a viable surgical candidate..

How long does the operation take?

All our penile curvature correction surgeries are daycare and take between 1 and 2 hours of operating time. This means that the whole process (from admission to discharge from the clinic) is around 6 hours, after which you can return to your home or workplace.

Do I need general anaesthesia?

Yes – the operation is performed under general anaesthesia. However, this should not cause you any concern. Modern-day care surgery requires light anaesthesia and since our operations are minimally invasive, it is very unlikely that there will be any complications.

You are put to sleep just before the operation starts and wake up just after the surgeon finishes – so in total, you will be under anaesthesia for around 2 hours.

How long do I need to stay in the hospital for?

After the operation you would need to stay in the hospital for 3-4 hours. During this time you will be attended by our nurse, be provided with something to eat, review how you feel with your surgeon and then you will be ready to leave. You will be able to walk and function normally, usually with only mild pain or discomfort.

I am travelling from abroad – how long do I need to stay for follow up after my surgery?

You will have a follow up in office consultation the next day after your operation with your surgeon to check that everything is fine. After this, most patients can travel although we recommend that you stay for a further 1-2 days so that you can have further follow-ups over the next few days with your surgeon if required.

What do I need to do to prepare for the operation?

Practically nothing – although following a healthy lifestyle (in terms of diet, exercise, smoking and alcohol consumption) the preceding month is advised since this will assist with the recovery. Moreover, you will be given detailed fasting instructions that you will need to follow 6 hours before the surgery. However, if you have fallen ill or there are any other recent health concerns, make sure you inform your surgeon as soon as possible so as to evaluate whether the surgery can go ahead. If there are any other things you need to do pre-operatively, your doctor will inform you during your consultation.

What is the cost of the surgical treatment?

Surgical treatment costs depend on the type of operation required, the medical material utilised and the specific circumstances of each patient. Following your consultation, if you are a candidate for a surgical treatment, an all-inclusive quote will be provided (including medical material, hospital fees, anaesthetist fees and surgeon’s fee and any follow-up consultations).

As an indication, for self-paying patients the all-inclusive cost for congenital curvature correction surgery begins at £5500.

How experienced are your surgeons?

Our surgeons are focused exclusively on male urogenital surgery and have also published extensively on the diagnosis and treatment of Peyronie’s disease. In fact, we are an international referral centre and patients travel from all over the world to consult with our surgeons.

Equally important is the fact that as an international network of andrology practices, we have developed very strict and state of the art surgical procedures and have monthly sessions during which our surgeons share their experiences and discuss difficult cases hence constantly improving and sharing the best surgical techniques employed.

This means that the surgeons of our group have a combined experience of over 1500 Peyronie’s disease surgical corrections which is one of the highest in the world.

What are your success rates?

We define our surgical success rate in three ways:

  • No major complications
  • No significant curvature recurrence
  • Demonstrable patient satisfaction

Based on these three criteria our success rate is more than 95% in penile curvature surgical, correction, which is significant higher than that reported in medical literature. We believe a very important element that results in such high success rates, beyond the surgical skills of our doctors, is the correct patient selection in terms of tailoring the surgical technique and also the very extensive post-surgical follow up care provided to our patients. Our experience suggest that this is of paramount importance for successful surgical outcomes.

Do you have any patient testimonials?

Yes. We have extensive patient testimonials (published anonymously here) and we can also put you in contact with individual patients either via phone or email if you would like to know more about their surgical experience in our clinic.

What do I need to do after the surgery?

The day after your operation, you will need to attend a follow up consultation with your surgeon, during which he will give you detailed post-operative instructions, change your medical dressing and answer any questions that you might have.

After that and until your next in-office consultation (usually a month later) your surgeon and our patient co-ordination team will be in close contact with you requesting regular updates and also addressing any concerns you might have.

Two weeks after your surgery (unless instructed otherwise) you will need to start post-operative rehabilitation which involves penile stretching and/or exercises with a Vacuum Erection device (for more information see here) – detailed instructions will be provided to you post-operatively.

How long do I need to take of work in order to have the surgery?

Most patients can return to office work 2-5 days after their operation. If your work involves heavy physical activity, then you will need a bit longer off work, which you will discuss with your surgeon.

How long after the surgery can I resume sexual activity?

Sexual activities can resume 4-6 weeks after your treatment unless your surgeon advises otherwise.

Will I experience pain after the operation?

Some mild pain and discomfort can be expected but this can be treated with over the counter oral painkillers. Same patients, especially younger men, may feel pain during their erections in the first few days after surgery.

Are there any potential complications?

All our operations are minimally invasive and most complications can be treated with common medication.

Most patients will experience some swelling of the penis which will subside in the first few days after the operation. Rare complications (associated with any type of surgery) may include bleeding, infection (you will be prescribed antibiotics to prevent this), localised tissue damage (blood vessels, nerves, penis glans, urethra), temporary/ permanent glan numbness, recurrence or residual curvature, penile shortening, post-operative erectile dysfunction and in some cases penile bulging. During your pre-operative consultation, the risks of the operation will be explained and your surgeon will answer any questions that you might have.

I believe I am suffering from a Congenital Penile curvature, what should I do next?

If you believe you are suffering from Penile curvature and it causes you significant concern we advise you to see a specialist urologist/andrologist.

Our doctors have extensive experience treating curvature and our clinic is an international referral centre for patients suffering from this condition. We would be happy to review your case and treat you in our clinic.

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