How Safe is Surgery for Peyronie’s Disease?

If you’re a man who has noticed that your penis is starting to shorten, curve unnaturally or develop an hourglass shape, you may be suffering from Peyronie’s disease. Named for François Gigot de la Peyronie, the French surgeon who first described the condition in 1742, Peyronie’s (pronounced pay-roh-NEEZ) disease affects somewhere between 6 % and 13 % of men, usually between age 40–70. 

Surgery for Peyronie’s Disease

Symptoms 

In its early stages, Peyronie’s disease symptoms can include the following: 

  • Swelling or inflammation of your penis 
  • A lump or hard knot on one side of your penis 
  • An hourglass bend to your penis 
  • Uncomfortable or painful sensations as you’re getting an erection 

Unfortunately, if left untreated, symptoms can increase in severity. You could find it ever more difficult to get an erection. Many men with advanced Peyronie’s disease report that their penis only gets hard up to the point of the lump or knot. Other men report that sexual intercourse has become virtually impossible due to the now distorted shape of their penis and the pain that Peyronie’s disease causes. 

Treatment and Cure 

Sometimes Peyronie’s disease will resolve on its own, generally within a year after you first notice your symptoms. Nevertheless, you should not rely on this outcome. Instead, you should see your urologist if your symptoms persist for four weeks or longer. 

At Katelaris Urology in Sydney, we examine your unerect penis by palpating it to discover the location and extent of any hardened area. We may also schedule an ultrasound of your erect penis to determine the blood flow to it and if it contains any calcium deposits. 

Naturally, you want to know how to treat Peyronie’s disease. The answer depends on several factors, including: 

  • Whether you’re in the acute phase or the chronic phase of the disease 
  • The extent of damage already done to your penis 
  • Your treatment goals 
  • The treatment modality you choose 

Peyrone’s disease treatments may include the following: 

  • Oral medications 
  • Penile injections 
  • Penile shock wave treatments 
  • Penile traction 

If you have an advanced case of Peyronie’s disease, however, surgery is your only viable option. 

Peyronie’s Disease Surgery 

There are three main types of Peyronie’s disease surgery: 

  1. Plication: stitches in the longer side of your penis to pull it more to the middle 
  1. Grafting: placement of a graft into the short side of your penis to make it match the longer side 
  1. Penile prosthesis, aka penile implant: placement of a prosthesis into your penis to help straighten it and make it easier for you to get erections 

Recovery Times 

Your Peyronie’s disease surgery recovery time depends on which procedure you choose, as follows: 

  • For plication, you can expect to return to work after a 1-day recovery period. 
  • For grafting, your return to work time increases to 2–3 days 
  • For prosthesis placement, you likely will be off work for 2–3 weeks. 

In terms of how long you should abstain from sexual intercourse after your surgery, these times range as follows: 

  • Plication: 5 weeks 
  • Grafting: 8 weeks 
  • Prosthesis placement: 5–6 weeks 

Bottom Line 

Peyrone’s disease and other types of erectile dysfunction are not things you need to suffer in silence. Contact Katelaris Urology today. Let’s talk about your problem and find a solution for it.