LOCATIONS GORIZIA CLINIC - VIPAVSKA CESTA 58, 5000 NOVA GORICA, KOLOMBAN CLINIC - KOLOMBAN 54A, 6280 ANKARAN

Peyronie's disease - correction of penile curvature

DURATION OF THE SURGERY

120 - 180 min

ANESTHESIA

General anesthesia

HOSPITALIZATION

1 night

RECOVERY TIME

14 - 21 days

BACK TO SEX

4 - 6 weeks

Congenital - congenital curvature of the genitals is a condition characterized by a curved penis from birth. With the correction, we help to equalize the genitals, maintain the length of the genitals and establish adequate firmness, which enables satisfactory penetrative intercourse. The curvature of the penis occurs as a result of the disease of the connective tissue of the tunic (tunica albuginea) of the breccia of the penis.

Key facts about the procedure

- Most often the curvature is ventral (downwards), but it can also be dorsal (upwards towards the navel) or lateral (sideways).

- Peyronie's disease occurs in 6-9% of men who they are between 45 and 60 years old, and younger men can also face it (10% of patients are under 40 years old).

- Up to 60% of affected men have problems with erection (erectile dysfunction), and depression is present in 50% of those affected by this disease.

- As a rule, the treatment of congenital genital curvature is only surgical.

- Early recognition and treatment significantly reduce the appearance of psychological distress in sufferers.

- In addition to Peyronie's disease, other comorbidities and risk factors such as diabetes, hypertension, hyperlipidemia, erectile dysfunction, smoking, and excessive alcohol consumption also occur.

"The natural course of the disease can be divided into two periods, i.e. phase. These are the acute and chronic phases of the disease. In the acute phase, pain occurs during erection and gradual bending of the genitals."

The disease is characterized by the progression of fibrosis in the tunica albuginea and the formation of a so-called plaque that prevents the tunica albuginea from stretching. This can cause deformation of the penis during erection, such as curvature, shortening, indentation or narrowing of the penis in the shape of an hourglass. In addition, an erection problem may also occur. Although the reasons for the development of this disease are not entirely clear, there are successful treatment options that can be offered to patients.

Penile curvature correction procedure

Surgical treatment is recommended in the chronic phase of the disease, when pain during erection is not present and the curvature of the penis remains stable for at least 6 months. The main goal of surgery is to correct the curvature of the penis, maintain its length and establish sufficient strength for satisfactory sexual intercourse. Potential risks of surgery include shortening of the penis (depending on the surgical technique chosen), erectile dysfunction (increased risk when using implants), change in sensitivity of the glans penis (due to manipulation of the neurovascular bundle) and the possibility of palpable scars or the presence of suture material under the skin. When the procedure is performed by a qualified surgeon, the risks are minimal.

Among the surgical procedures for the correction of penile curvature, a distinction is made between those that shorten and those that lengthen the penis.

Surgeries that shorten the penis
are performed on the longer side of the penis and do not affect erectile function. They are used in the case of markedly distorted deformities that significantly hinder or prevent sexual relations. The method of surgical intervention depends on the length of the affected penis, degree of curvature, functionality and expectations of the patient, whereby the psychological assessment is crucial.

Surgical treatment that lengthens the penis
is performed on a shorter side of the penis. This method involves incision or removal of Peyronie's plaques (in the case of Peyronie's disease) and sewing an implant (graft) into the resulting penile defect (autologous graft, allograft, xenograft, synthetic graft). It is used to maintain the length of the penis and to correct advanced, complex deformities where penis shortening is not acceptable.

The risk of erectile function deterioration occurs in 15% to 25% of operated patients. In case of problems, we suggest that you sign up for a non-binding consultation, where we will present all the treatment options, the procedure and the expected results in detail.

More about the procedure

The course of Peyronie's disease

The natural course of the disease can be divided into two periods, i.e. phase. These are the acute and chronic phases of the disease. In the acute phase pain occurs during erection and gradual bending of the genitals. In this phase, we use non-surgical treatment, the purpose of which is to reduce pain and stop the process itself. The chronic phase of the disease occurs 6–12 months later, when the pain is no longer present and the curvature stabilizes. Surgical treatment is used when the deformity is strongly expressed and when sexual intercourse is significantly difficult or even impossible. The choice of surgical treatment depends on the length of the affected genitalia, degree of curvature, erectile function and your expectations.

Preparation for the procedure

Before starting treatment, it is important to assess risk factors that can lead to the disease or worsen the disease (diabetes, hypertension, dyslipidemia, smoking, alcohol). The assessment of the psychological burden is extremely important. A common co-occurrence is the so-called Dupuytren's curvature in the area of ​​the hands and feet. Part of the preparation for the procedure is also an assessment of (potential) erectile function using the International Index of Erectile Function (IIEF). In the case of erectile dysfunction, we also recommend a Doppler ultrasound examination of the erect penis.

Informative price for penile curvature correction

The price of penile curvature correction depends on the specifics of each individual and is determined at the end of the consultation.

Basic Plan

3800

ONE TIME PAYMENT

Popular

105

MONTHLY IN 36 INSTALLMENTS

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