Showing posts with label surgery. Show all posts
Showing posts with label surgery. Show all posts

Monday, 16 December 2019

Surgery Is an Option for a Bent Penis

No, there’s nothing wrong with a penis that has some mild curvature to it; in fact, many partners prefer a penis that isn’t absolutely straight and feel that the curvature adds “character” to the organ. But when a bent penis has too much curvature – when it causes pain or is so severe that it interferes with proper sexual functioning – then a man usually has a condition called Peyronie’s disease, which can be a penis health concern. Many men with such a bent penis require treatment, and 1 option to pursue may be surgery of the penis.
About Peyronie’s disease
Named after the doctor who first described the condition, Peyronie’s disease is defined by the Mayo Clinic as a “noncancerous condition resulting from fibrous scar tissue that develops on the penis and causes curved, painful erections.” That fibrous scar tissue usually results from some sort of injury or trauma to the penis. It may be a one-time incident, such as being kicked in the groin, or it may come about from repeated small wounds (such as rough handling of the penis by a partner on a regular basis).
Treatments
There are several treatment options employed with Peyronie’s disease, although only one is approved by the U.S. Food and Drug Administration (FDA). That FDA-approved drug, Xiaflex, is injected into the penis, where it helps dismantle some of the scar tissue. There are other drugs that have been used in treating a severely bent penis, but Xiaflex is the only one approved specifically for this purpose.
There are also oral options, meaning pills, which have been used with varying degrees of success. The same is true of penile traction devices, shockwave therapy, and electrical charge therapy.
Surgery
Many men have undergone surgery to treat their Peyronie’s disease, although this is generally considered as an option only in very severe cases. Surgery is typically the most effective way of fixing the bent penis, but it also comes with risks (as do all surgical procedures). In addition, surgery can be an expensive option, especially for men whose insurance policies do not adequately cover the costs of the procedure.
There are several kinds of surgical procedures associated with treating Peyronie’s disease:
- Plication. The bending in Peyronie’s disease occurs because scar tissue (plaque) piles up in the traumatized area. The plaque has less flexibility than penile skin, and so it doesn’t stretch when the penis becomes erect, but the penis skin opposite it does. With plication, the skin opposite the plaque is “bunched up” so that it no longer bends – however, this does mean that the penis will be shorter than it was originally.
- Grafting. Unlike plication, grafting attempts to lengthen the shorter side of the penis. It does so by grafting fresh new skin from other parts of the body onto the “bunched up” scar tissue. The resulting penis is straighter and longer than the one afflicted with severe curvature.
- Implants. The final surgical option for Peyronie’s disease is penile implants, and this is generally reserved for men whose condition has resulted in serious erectile dysfunction. A plastic cylinder is inserted into the penis, which helps straighten the bend and which also enables the penis to achieve an erect state.
Whether surgery is used in treating a bent penis or not, a man will fare better if his penis is in its best health, which can be aided by regular use of a superior penis health oil (health professionals recommend Man 1 Man Oil, which is clinically proven mild and safe for skin). Those who care deeply about their penis health want to select an oil that includes a range of useful vitamins, such as A, B5, C, D, and E. In addition, an oil with L-arginine can help create situations in which penile blood vessels are more receptive to increased blood flow.

Wednesday, 19 September 2018

Can Bent Penis Surgery Cause Complications?

Possessing a severely bent penis - a condition officially known as Peyronie’s Disease - can be problematic for some men. Some degree of curvature is not unusual and is not a sign of a penis health issue. But when the bent penis curves at an extreme angle - whether to the left or right, or up or down - it can cause issues problems that require attention. There are several treatment options recommended for a severely bent penis. In some instances, a doctor may even recommend surgery as an option.

Peyronie’s disease

Peyronie’s disease usually develops as the result of fibrous scar tissue accumulating in the penis. In order for the penis to function properly, it needs to freely expand during an erection, which requires skin that is pliable and flexible. When a lump of scar tissue accumulates in one spot, it impedes that flexibility, but only on the side of the penis where the lump occurs. Thus, when the penis gets erect, the rest of the penis expands as normal, but the affected side cannot match it in expansion. As a result, the penis pulls toward the affected side, creating the bent penis.

A severely bent penis can impact a man’s ability to penetrate a partner, whether vaginally or anally. It also can cause pain to the man, a soreness from the skin stretching unevenly during the erection. In addition, some men may feel embarrassed or ashamed of having a bent penis, considering it a deformity.

If a man does have Peyronie’s disease, he should contact a qualified urologist for an official diagnosis and to discuss treatment options.

Treatments

The Urology Care Foundation estimates that about 13% of Peyronie’s disease cases are self-resolving - that is, the curvature will disappear on its own in time. For this reason, many doctors advise taking a "wait and see" approach with a bent penis.

There is only one drug that is specifically approved by the U.S. Food and Drug Administration for Peyronie’s, and that is collagenase, approved for use in men with curvature greater than 30 degrees. This drug is delivered via injection, as are several other "off-label" drugs sometimes used for a bent penis. There are also some oral medications that some doctors use, though there is a need for more studies to determine their efficacy.

In persistent and stubborn cases, or cases in which there is an unusual degree of curvature and/or pain, a doctor may recommend surgery. This may involve shortening the unaffected side; cutting the scar tissue and grafting new skin on the affected area; or utilizing a penile implant.

Complications

Some men worry about complications that might arise when surgery is performed on the penis. All surgery carries some risks, and there have been reports of complications from Peyronie’s surgery.

Probably the most common complication is a loss of penis sensation, especially following the surgery which cuts the scar tissue and grafts new skin on the penis. But one important study found that the loss of sensation was temporary. Only 21% of men in the study experienced it, and almost all of them reported a full return of sensation within a year of surgery.

Another complication is that shortening the unaffected side of the penis can make the entire penis shorter, something some men might be disturbed about.

Men with a very bent penis should definitely discuss the pros and cons of surgery with a specialist. Whatever their decision, they need to help maintain their penis health via daily use of a superior penis health creme (health professionals recommend Man 1 Man Oil, which is clinically proven mild and safe for skin). The best cremes will contain vitamin C, a key component of collagen, which in turn is essential for giving penis skin its tone and elasticity. In addition, the crème should contain an amino acid known as L-arginine. This ingredient helps the body in its production of nitric oxide, which is crucial for helping penile blood vessels to expand to accommodate influxes of blood.