Category Archives: Penile

Penile Curvature Correction Treatment

Penile Curvature

IS IT NORMAL TO HAVE CURVED PENILE?

Penile Curvature is an abnormal bend in the penis that occurs during erection or in other words if the penis is bent to the left or right or up or down so much as to make it difficult or even painful to enter your partner during sex then it is matter of concern. This abnormal curvature of penis can be either Peyronie’s disease or Congenital curvature( since birth).

 

WHAT SHOULD I DO IF I AM WORRIED ABOUT MY CURVED PENIS?

If you notice any abnormal curvature in your penis then immediately you need to consult the Urologist who is specialized in Genito-Urinary Reconstructive Surgery. The Specialist will guide you for the right treatment.

 

WHAT CAN BE THE CAUSES OF CURVED PENILE?

There are certain causing factors for penile curvature.

  • Peyronie’s Disease can occur because of trauma to penis during sexual intercourse or masturbation.
  • Congenital Curvature may present since birth.
  • Sequelae of penile fracture-if patient is having any history of penile fracture then there is possibility of penile curvature.

 

WHAT ARE THE SYMPTOMS OF CURVED PENIS?

  • Narrowing of the penis at particular area
  • Hard lumps in the penis/ plaque
  • Shortening of the penis.
  • The thickened area may be painful when the penis is erect.
  • It can be difficult to get an erection / loss of erection
  • The pain and the bending of the penis may physically prevent sexual intercourse.

 

WHAT ARE THE TREATMENTS AVAILABLE FOR CURVED PENILE?

The treatment options depend on several factors such as duratin of symptom, degree of penile curvature, presence of waisting (hour-glass deformity), size of penile plaque (fibrous scar tissue) and presence of erectile dysfunction. In case of mild curvature I suggest not to go for surgery as this type of Peyronie’s disease gets treated on its own.

Surgery is the only treatment known to be effective if :

  • The curvature is >30%
  • Curvature is stable for almost 6-8 months
  • Curvature is associated with Erectile Dysfunction.

PENILE CURVATURE COULD BE CORRECTED WITH THE FOLLOWING SURGERY

  • Penile plication surgery

Advantage – Low risk of erectile dysfunction

Disadvantage – Penile shortening

  • Penile graft surgery

Advantage- Penile length preservation

Disadvantage- Higher risk of erectile dysfunction

  • Penile prosthesis + curvature correction if curvature is more than 40%.

Advantage- Treat underlying erectile dysfunction. Mild degree of curvature gets corrected with penile implant.

Disadvantage- Risks associated with penile prosthesis

 

IS THERE ANY NON-SURGICAL TREATMENT AVAILABLE FOR CURVED PENIS?

 

In case of mild curvature Dr.Gautam Banga suggests not to go for surgery as this type of Peyronie’s disease gets treated on its own. Surgery is the only treatment known to be effective if curvature is significant.

 

WHAT ARE THE RISK FACTORS INVOLVED IN PENILE CURVATURE SURGERY?

Penile curvature correction surgery is considered a safe procedure when performed by expert surgeon. Surgical complications depend on the complexities of Peyronie’s plaque size and the type of curvature correction surgery.

Some of the common postoperative complaints include:

  • Temporary decrease sensation to the glans of penis
  • Potential penile shortening
  • Injury to the urethra
  • Development of erectile dysfunction
  • Recurrence of penile curvature (due to abnormal underlying penile tissue)

 

WILL I HAVE NORMAL FEELINGS AFTER SURGERY?

 

Definitely you will feel the natural erection after surgery provided surgery has been done by an expert in Genito-Urinary reconstructive surgery. Your partner would not be able to make out any difference.

DOES A PENIS LOOK AND FEEL LIKE NATURAL ERECTION AFTER SURGERY?

Normal spontaneous penile erection is common after penile curvature surgery but any sexual activity is discouraged for atleast 4-6 weeks.

 

WHAT ARE THE PRE AND POST- SURGERY PRECAUTIONS?

 

It is usually recommended not to get involved in sexual activities for 4-6 weeks post-surgery.

Strenuous exertions are to be avoided. Patient should be realistic about surgery results.

 

HOW MANY DAYS HOSPITALIZATION IS REQUIRED FOR THIS SURGERY?

Usually 2 days hospitalization is needed for a patient following Penile curvature surgery. But we allow such patients to get discharged from hospital once they are In stable condition. And they are recommended to come after a week for follow up.

 

WHAT IS THE RECOVERY TIME AFTER PROCEDURE?

Recovery is fast and the patient can resume routine work within 24-48 hours.

 

WHAT IS THE COST OF THE SURGERY?

Surgery cost depends upon certain factors like degree of curvature, severity of the ailment, penile implant.

 

DO THE INSURANCE COMPANIES COVER PENILE IMPLANT PROCEDURE?

We suggest you to consult it with your concerned Insurance company.

 

WHAT IS SUCCESS RATE OF THE PROCEDURE?

We help Men with penile curvature to resume to their routine social and sexual life. Our centre for urethra and penile surgery is well equipped and backed up by experts headed by Dr.Gautam Banga who has performed over 100 such surgeries with a high success rate.

For any further enquiry on Penile Curvature Treatment & Surgery please contact:

Dr. Gautam Banga

MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : 91- 9886624303 | +91-9999062316 | 011-41041131
Email:- info@urethraandpenilesurgery.com
Website : www.urethraandpenilesurgery.com

PENILE IMPLANT SURGERY & TREATMENT BEST IN DELHI

 What is penile Implant ?

Penile Implant Surgery or penile prosthesis is a treatment option for men with Erectile Dysfunction who do not respond to conservative management. It is surgically placed into a penis to generate/ produce a natural erection.

What are the types of penile implant?

There are mainly two types of Penile prosthesis: Semirigid and Inflatable. Peculiar features of the implants are as follows:

Type of implant Advantages Disadvantages
 

Semirigid or Malleable rods

 

Easy to use.

Fewest parts so fewer chances of malfunction.

 

Constantly firm
Inflatable implants- three piece model

(standard of care)

Acts and feels more like a natural erection Requires more manual dexterity
Inflatable implants- two piece model Penis looks more natural in erect and flaccid states, easier to operate than 3 piece model.

 

Possibility of leakage or malfunction

types of penile implant surgery
How to choose the right penile implant surgery ?

Penile implant surgery is an important decision. No one is too old to be evaluated for this procedure. But achieving the optimum results depends on upon the selection of penile prosthesis best suited for each patient. There are some important factors which are considered while choosing a penile implant for a patient:

There are some important factors which are considered while choosing a penile implant for a patient:

a) Age of the patient and partner

b) overall penile size,

c) The ability of the patient to inflate / deflate the device

How and what device is used for Penile Implant Surgery?

Through a 3-4 cms incision at the level of penis and scrotum, small openings are made on both carpora cavernosa and after taking accurate measurement (length) implants are selected and placed along with the pump.

How long does the penile implant procedure take to complete?

This procedure takes approximately 1.30 hours to 2 hours.

Will I have normal feelings after implant?

The penile implant does not interfere with the natural feelings. This device has nothing to do with the ejaculation or orgasm.

Does a penis with implant look and feel like a natural erection?

Penile Implant Surgery is not noticeable when your penis is flaccid. Your partner would not be able to make out that you have had an implant in your penis unless you tell her.

What if I get an infection after the procedure?

If it is a superficial infection then can be treated with antibiotics. And if the implant gets infected then we have to replace it with the new one.

What are the possible risks/complications of penile implant?

Post-operative complications of penile implant surgery are not common. There are some risks associated with the implant procedure including pain, anaesthesia, and repeat surgery due to infections or mechanical failure of the device.

Which specialist/surgeon will do the surgery?

A Urologist who is specialized in Genito-Urinary Reconstructive Surgery is the right choice for penile prosthesis surgery. A routine urologist may not be efficient to perform this procedure.

What do I need to prepare for the penile implant procedure?

A patient needs to prepare certain essentials before heading towards the penile implant surgery.

Few are listed below:

i. Get your medical history reviewed by the Urologist who is specialised in Genito-Urinary Reconstructive surgery.

ii. Do a physical examination: Physical evaluation is must prior the surgery to avoid any hassles while surgery,

iii. If diabetic, sugar needs to be controlled.

iv. Any skin infection should be treated prior surgery.

v. Penile sensation should be intact.

What are the post- operative precautions to be taken?

• No sexual activity for 6 weeks after the surgery.
• No strenuous work for 4 weeks after the surgery.

What is the recovery time after the procedure?

A patient following penile implant surgery usually recovers within 2 days means he can resume his normal routine after 2 days of the surgery. You can begin enjoying sex once again after 6 weeks.

What is the cost of the surgery?

Surgery cost entirely depends on upon the cost of the implant chosen by the patient.

Do the insurance companies cover penile implant procedure?

Usually, it is advisable to coordinate with your respective insurance company in view of the same.What is

What is the success rate of the procedure?

About 90%-95% of inflatable implants produce erections suitable for intercourse.
More than 90% of men are moderately or completely satisfied with the results.

For any further enquiry on Penile Implant Surgery please contact:

Dr. Gautam Banga

MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : 91- 9886624303 | +91-9999062316 | 011-41041131
Email:- info@urethraandpenilesurgery.com
Website : www.urethraandpenilesurgery.com