Bent penis surgery aims to treat selected cases of penile curvature, according to an individual medical evaluation. Before considering this procedure, it is important to be assessed and followed by a urologist.
Surgery may be recommended for congenital curvature as well as acquired deformities, such as Peyronie’s disease, especially when there is pain, difficulty during sexual intercourse, or an impact on quality of life.
When properly indicated and performed in an appropriate medical setting, bent penis surgery may have a safety profile compatible with the procedure, provided that the risks, the patient’s clinical conditions, and postoperative follow-up are considered. Recovery and results vary from case to case.
Below, learn how preoperative and postoperative care for penile curvature correction surgery usually works.
Initial exams and planning for bent penis surgery
| Exam | Purpose | What the doctor evaluates |
|---|---|---|
| Anamnesis (medical history) | To investigate the patient’s health history | Use of medications, chronic diseases, symptoms, and family history |
| Inspection and palpation of the penis | To identify physical changes in the penis | Presence of plaques, fibrosis, or hardened areas |
| Drug-induced erection | To evaluate penile curvature during erection | Curvature, size, girth, and penile rigidity |
| Rigidity test | To assess erection quality | Ability to achieve sufficient rigidity for penetration |
| Penile Doppler ultrasound | To analyze penile circulation and structure | Blood flow, vascular causes of erectile dysfunction, and presence of fibrosis |
Preoperative care for bent penis surgery
In addition to the exams performed before surgery, the preoperative phase of penile curvature correction may include important measures intended to support procedural safety and reduce the risk of complications:
- maintaining an approximately 8-hour fast from solid foods and liquids;
- performing intimate hygiene with antibacterial soap;
- using antibiotics and antifungals prescribed by the doctor, when indicated, to reduce the risk of infection;
- sleeping well and resting adequately the night before surgery.
What happens on the day of bent penis surgery?
Bent penis surgery usually lasts between two and three hours. In some cases, depending on the medical evaluation and immediate postoperative progress, discharge may occur on the same day.
During the process:
- pubic hair shaving is performed in the surgical center by the medical team;
- the patient receives sedation associated with local anesthesia;
- prolonged hospitalization is usually not required;
- when surgery is performed in the morning, discharge often occurs in the early afternoon.
Regarding the surgical technique, penile straightening may be associated with specific reconstructive methods, defined according to the type of curvature, anatomical characteristics, and individual medical evaluation.
In certain reconstructive approaches, the surgeon may work on areas related to the curvature, taking into account length, width, alignment, and the anatomical limits of penile structures. In some cases, the need to combine the procedure with a penile prosthesis implant may also be evaluated.
Another approach used in more complex cases is the STAGE technique, based on microincisions in the tunica albuginea. This technique is usually considered in situations of more severe penile curvature.
Does the penis become erect during the procedure?
During bent penis surgery, it may be necessary to induce an artificial erection to allow evaluation of the curvature. This state may be achieved with the help of vasodilator medications and saline solution while the patient is sedated.
Induced erection allows the surgeon to assess the curvature and other visible changes during the procedure, helping to plan incisions or other necessary surgical maneuvers according to the indicated technique.
Induced erection may also help the surgeon evaluate the alignment obtained during the procedure and the need for additional adjustments. After this step, the erection is reversed and, when indicated, the measurement needed for planning or placing a penile implant may be performed.
How is recovery after bent penis surgery?
Medical follow-up begins on the same day as the surgery. During this evaluation, the specialist assesses the patient’s general condition and provides guidance on the necessary postoperative care.
The main care measures include:
- not removing the dressing during the first 5 days;
- changing the dressing daily after this period, according to medical guidance;
- using prescribed medications to inhibit erections in the first few days;
- performing penile rehabilitation, when indicated, to support healing and maintenance of alignment.
The recovery time varies from patient to patient, but it usually involves three main stages:
- return to work between 7 and 10 days, provided there is no physical effort;
- resumption of physical activities after around 30 days;
- return to sexual activity after approximately 45 days.
The stitches used in surgery are often absorbable and are generally completely absorbed by the body within up to two months.
Bent penis surgery: frequently asked questions
How long does the surgery take?
Bent penis surgery usually lasts between 2 and 3 hours.
How long should I avoid sex after surgery?
The period varies depending on the patient’s recovery, but the general recommendation is often to maintain sexual abstinence for about 45 days.
Does the surgery leave a scar?
A discreet scar may occur, depending on the technique used and the individual healing process.
Is the surgery painful?
During the procedure, sedation and anesthesia are intended to control pain and discomfort. In the postoperative period, discomfort of varying intensity may occur and should be assessed and treated according to medical guidance.
Is there a risk of impotence?
More complex cases, especially those involving severe curvatures, associated erectile dysfunction, or graft use, may increase the risk of changes in erectile function.
Does the penis lose size?
It depends on the technique used, the patient’s anatomy, and the characteristics of the curvature. Some approaches aim to preserve penile length or treat the difference between the sides of the penis, but results vary from case to case.
How long does swelling last?
Swelling usually decreases gradually over 2 to 6 weeks, depending on the body’s healing response.
Can the curvature return?
Yes. In some cases, changes in the healing process may lead to recurrence of the curvature, reinforcing the importance of medical follow-up before and after surgery.
Medical evaluation for penile curvature
Medical follow-up is important to assess the indication for bent penis surgery, provide guidance on possible risks and benefits, and define the most appropriate treatment plan for each case.
Fill out the pre-analysis form so the team can review the initial information and guide the next steps according to the needs of each case.
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