What to Expect From Peyronie’s Disease Surgery

What To Expect

Peyronie’s Disease has both functional and psychological effects on many patients. Isolation, physical and emotional pain, and relationship problems are just some of the harmful consequences brought about by the condition, which is why the right treatment is important (Goldstein et al., 2015). 

Aside from oral medication, injection and other therapies, surgery is the only other treatment option. Surgery has been shown to be the best way to fix the curvature of the penis caused by Peyronie’s Disease. However, many people get apprehensive when they hear the word “surgery” because they’re either afraid of being under general anesthesia or being “cut open.” But contrary to what you may have initially expected, surgery for Peyronie’s Disease is often small and minimally invasive. 

Here are some things you should expect from Peyronie’s Disease Surgery. 

 

What is Peyronie’s Disease?

Peyronie’s Disease (PD) is a prevalent condition that affects many men as they age. The sickness results in a crooked or bent penis. It affects between 3.5 and 9% of men, depending on how old they are.

After a penile injury, experts think that an abnormal healing process causes Peyronie’s Disease. This abnormal way of healing causes plaques to form or the tough coating on the erectile part of the penis to get bigger. Most of the time, the Disease starts with swelling or edema, and over time, plaque builds up.

With Peyronie’s Disease, some men have pain with their erections, making it hard for them to act sexually. This causes stress, frustration and anxiety in many patients.  

 

Possible Causes and Symptoms of Peyronie’s Disease

Causes

The precise cause of Peyronie’s Disease is unknown to specialists; nonetheless, they believe that it may be the result of:

    1. penis that has been injured acutely or chronically; it may have been sustained from a sexual encounter, athletic activities or accident. 
    2. autoimmune illness, connective tissue disorders
    3. has undergone prostate cancer treatment with surgery in the past
    4. genetically transferred; the family has a history of having Peyronie’s Disease

Peyronie’s Disease is not contagious and is not associated with any disease known to be transmissible.

Symptoms   

Peyronie’s disease indications and symptoms include:

    1. erectile dysfunction 
    2. lumps or nodules on one or more sides of the penis 
    3. visible penile curvature with or without erection
    4. changes in the shape of the penis; either growing or shortening
    5. pain during sexual intercourse and erection 

You can also check this complete guide regarding Peyronie’s Disease here

 

Who needs surgery for Peyronie’s Disease?

Urologists may require you to undergo surgery if the penile curvature doesn’t get better after 9 to 12 months of nonsurgical treatments and the penile curvature is:

  • chronic (the curvature persists for more than 12 months without getting better or worse)
  • causing problems with getting an erection (inability to have an erection)
  • severe enough to make it hard or impossible to have sex
  • stable (for at least nine months, the curve hasn’t gotten worse).

 

Types of Surgery for Peyronie’s Disease 

Once your urologist has analysed the plaque on your penis and decided that you need surgery, they will recommend the best surgical procedure for you. These are the some of the surgeries for Peyronie’s Disease:

  • Penile Grafting

A graft of synthetic or biological material is used to replace the plaque that has been removed. Correction of additional abnormalities and restoration of some of the length and width lost due to PD are all possible with penile grafting.

Peyronie’s Disease Surgery Before and After Treatment

Penile grafting requires an overnight stay in the hospital, but you should be able to return to work in two to three days. After eight weeks, sex can be resumed.

  • Penile Plication

To straighten your penis, a doctor performs penile plication, in which he sews directly into your penile tissue. Even though this popular procedure permanently corrects curvature, it fails to correct notches, waistlines, and any length or width decrease related to Peyronie’s Disease or other abnormalities.

Peyronie’s Disease Surgery Before and After Treatment

After this treatment, you can go home and return to work within one day of being released from the hospital. After a break of five weeks, you’re free to resume your sexual activities. 

  • Penile implant

If you have had erectile dysfunction (ED) or acquired ED following a grafting treatment, your doctor may suggest penile implants or a prosthesis.

Peyronie’s Disease Surgery Before and After Treatment

Because implants address both PD and ED at once, they are suitable for individuals suffering from these. A few days after the surgery, you can go about your day-to-day routine once it feels okay to do so. Refrain from heavy lifting or intense activities for 2 to 4 weeks. Sexual activities resume six weeks post-surgery.

 

How Safe is Surgery as a Treatment for Peyronie’s Disease?

Studies show that Peyronie’s disease surgery is generally safe and effective for men over the age of 65 (The Sexual Medicine Society of North America, 2020). Surgery has shown high patient satisfaction levels. 

However, even though it has been shown to be safe and effective, you need to do several dilatation procedures and surgical interventions before doing any of the procedures to make sure they work. It can take several months to a year or more before you see any of Peyronie’s surgery results, and some men may still need more treatment even after surgery.

 

Peyronie’s Disease Surgery Side Effects

As with any surgery, there can be Peyronie’s surgery risks. Be sure to talk to your urologist if any of these side effects happen to you. These include:

  • Change in how the penile area feels (usually returns in 1-2 months after surgery)
  • Recurrent curvature (rare if the deformity is stable for 6-9 months before surgery)
  • Erectile dysfunction (this is less likely to occur in men with strong pre-operative erections)
  • Shortening of the penis (usually 1-2 cm if at all)
  • Bleeding and infections are problems that can happen with most surgeries

 

Common fears and complications of Peyronie’s surgery 

Although the operation is successful in most cases, men usually fear the remote possibility of contracting an infection, bleeding, swelling, pain, and scarring. To avoid these, you will need to take it easy for four to six weeks after the surgery. You should not have sex or masturbate during this time. Your doctor will give you a date when you can start having sex again.

There is also the possibility that the surgical procedure will not resolve the issue, or the operation may make the underlying problem even more severe in some circumstances. Although the chances of these complications are small, there are risks of impotence after surgery or nerve injuries. Hence, before surgery, an in-depth discussion regarding the meticulous patient selection, assessment, and counselling should take place to establish reasonable expectations for the patients.

Having Peyronie’s disease surgery can significantly improve the appearance and 

function of your penis. They can drastically improve the quality of your sex life, leading 

to better sexual function and increased sexual satisfaction. 

 

Are you ready to book an appointment? 

Peyronie’s Disease is a problem with the male reproductive system that can make sex painful. If you have been diagnosed with Peyronie’s Disease, we know how scary surgery can be. If you are considering undergoing this procedure, be sure to discuss all your concerns and expectations with your urologist. 

The key to a good outcome is to work with a professional urology team and an experienced urologist. Dr. Phillip Katelaris is an expert on Peyronie’s Disease and has practised urology for more than 30 years.

If there’s anything we can do for you, you can get in touch with us here at any time. Contact us, so you are fully prepared for what lies ahead. You don’t need to suffer in silence.

For more information regarding Peyronie’s Disease, diagnosis, treatment and FAQs, click here.

 

References:

American Urological Association. (2015). Peyronie’s Disease. Peyronie’s disease guideline – american urological association. Retrieved May 23, 2022, from https://www.auanet.org/guidelines/guidelines/peyronies-disease-guideline

Elizabeth Boskey, P. D. (2020). What to expect from Peyronie’s disease surgery. Verywell Health. Retrieved May 25, 2022, from https://www.verywellhealth.com/what-to-expect-from-peyronies-disease-surgery-4705438

Goldstein, I., Hartzell, R., & Shabsigh, R. (2015). The impact of Peyronie’s disease on the patient: Gaps in our current understanding. Journal of Sex & Marital Therapy, 42(2), 178–190. https://doi.org/10.1080/0092623x.2014.985351

Levine, L. (2013). The clinical and psychosocial impact of Peyronie’s disease. AJMC. Retrieved May 23, 2022, from https://www.ajmc.com/view/a449_13mar_peyronies_levine_s55

Martinez, D., Ercole, C. E., Hakky, T. S., Kramer, A., & Carrion, R. (2012). Peyronie’s disease: Still a surgical disease. Advances in Urology, 2012, 1–5. https://doi.org/10.1155/2012/206284

The Sexual Medicine Society of North America. (2020). Peyronie’s surgery safe and effective for older men. SMSNA. Retrieved May 25, 2022, from https://www.smsna.org/patients/news/peyronie-s-surgery-safe-and-effective-for-older-men

Team Inspire. (2021). Peyronie’s disease surgery: What to expect. Inspire. Retrieved May 25, 2022, from https://www.inspire.com/articles/peyronies-disease-surgery/

UCSF Health. (2022, April 14). Surgical treatment for Peyronie’s disease. ucsfhealth.org. Retrieved May 25, 2022, from https://www.ucsfhealth.org/education/surgical-treatment-for-peyronies-disease

Weill Cornell Urology. (2019, March 19). Peyronie’s disease – risks & causes. Weill Cornell Medicine: Department of Urology – New York. Retrieved May 25, 2022, from https://urology.weillcornell.org/clinical-conditions/sexual-medicine/peyronies-disease/risks-causes