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Penis Curvature Treatment Surgery

peyronie

Penile curvature treatment surgery is often used to correct conditions such as Peyronie’s Disease, in which the penis has an abnormal bending or curvature that can make sexual intercourse uncomfortable or difficult. One of the surgical techniques used for this purpose is the Nesbit Procedure.

Key Elements of the Nesbit Procedure:

– Excision or Stitching: In surgery, either internal stitches (sutures) are used or small sections of tissue in the outer curvature of the penis are removed and the remaining tissue is then closed. This helps straighten the penis.

What to Expect During Surgery?
– Anesthesia: You will receive general anesthesia to ensure that you are comfortable and pain-free during the surgery, which takes about an hour. Most patients can return home the same day.
– Procedure: Nesbit technique The Nesbit technique involves creating a wedge-shaped incision on the long side of the penis, which helps straighten it. However, this procedure can cause the penis to shorten by one to two inches, with more pronounced curvature leading to more significant shortening.
Post-Surgery Recovery:
– Length of Hospital Stay: Patients typically stay in the hospital for one day, and you can expect to return for a follow-up visit within 7-10 days.
– Swelling and Bruising: You may experience mild swelling and bruising in the penis and scrotum for 1-2 weeks after surgery.
– Post-Surgical Care: It is very important to avoid strenuous exercise and sexual activity for approximately six weeks after surgery.
– Resuming Sexual Activity: Generally, patients can resume sexual intercourse after 4-6 weeks. The surgery allows normal ejaculation and orgasm similar to physiological conditions.

Things to Consider and Precautions:
– Be aware that while the Nesbit Procedure effectively straightens the penis, it may cause a reduction in penis length. This is something you should discuss thoroughly with your healthcare provider before proceeding with surgery.
-For those concerned about potential shortening or wishing to maintain penile length, the Staged Technique for Peyronie’s Disease and alternative surgical techniques such as plate incision and grafting surgery may be worth exploring.

Before Penile Curvature Treatment Surgery:
Before any surgical procedure, some basic preparations need to be made:
– Discuss medication use with your doctor, especially if you are taking medication for conditions such as diabetes, hypertension or heart disease.
– If you experience any fever, rash, or cold symptoms shortly before your scheduled surgery, be sure to inform your doctor as it may require a postponement.
Surgery Day:
On the day of your surgery, remember the following:
– Do not eat or drink anything for at least six hours before the procedure.
– A thorough cleaning of the surgery area will be performed at the hospital.
– Bring essential items such as your ID, insurance card, medications, and minimum personal belongings.
During Penile Curvature Treatment Surgery:
– An intravenous line will be established for necessary medications and fluids.
– Anesthesia appropriate to your condition will ensure that you are pain-free during the surgery.
– The surgery will be performed in a sterile operating room by a team consisting of your surgeon, operating room nurse, anesthesiologist and anesthesia technician.
After Penile Curvature Treatment Surgery:
Following surgery, important postoperative care includes:
– Keeping the incision area clean and dry.
– Avoiding heavy exercise and sexual activity for about six weeks.
– Attending a follow-up appointment with your doctor in 7-10 days.

Following your doctor’s post-operative instructions carefully is crucial to a smooth recovery and best results from penile curvature treatment surgery. Remember that individual experiences and recovery times may vary, so be sure to communicate openly with your healthcare provider throughout the process.

Plate Incision and Grafting for Peyronie's Disease: A Length-Preserving Procedure

Plaque incision and grafting are surgical procedures often used to correct Peyronie’s Disease. Unlike some other techniques, this procedure aims to straighten the penis while preserving its length, making it an attractive option for many patients.

How Plaque Incision and Grafting Works:

Preservation of Length: Unlike procedures that can cause shortening, such as the Nesbit technique, plate incision and grafting aim to preserve the current length of the penis.
– Use of Graft: This procedure involves the use of a man-made graft, essentially a patch, that helps form new collagen in the tissues after surgically straightening the penis. Unlike the Nesbit procedure, where incisions are made on the long side of the penis, plate incision and grafting involves incisions on the shorter side to straighten the penis. The space created by these incisions is filled with grafts.
– General Goal: The primary goal of this surgery is to bring the penis to a straight position while preserving its length. It is important to remember that any intervention to the penis will cause some changes, but this procedure aims to minimize these changes.
Post-Surgery Recovery:
– Duration: Full recovery typically takes about six weeks. Sexual activity is not recommended during this time.
– Return to Work: Most patients can return to work within a few days, but it is best to avoid strenuous physical activity during the six-week recovery period.
Things to Consider and Precautions:
– It is very important to discuss all potential risks and benefits of this surgery with your healthcare provider before proceeding.
– This surgery is considered a specialized procedure and is recommended to be performed by experienced urologists to ensure high success rates and minimal complications.

Before Surgery:
Some important points to consider before undergoing surgery are:

Medications: Discuss with your doctor the medications you take for conditions such as diabetes, hypertension, heart disease or COPD. In most cases, blood thinners will need to be stopped before surgery.
– Health Condition: If you experience symptoms such as fever, rash, or cold shortly before your planned surgery, notify your healthcare provider. In some cases, surgery may need to be postponed.

Surgery Day:

On the day of your surgery, pay attention to the following:

– Fasting: Do not eat or drink anything for at least six hours before surgery.
– Personal Hygiene: It is recommended to take a bath the night before or the morning of the surgery, but avoid cleaning the hair in the surgery area at home.
– Necessary Items: Take items such as your ID, insurance card, medications and minimal personal belongings with you.

During Surgery:

During the day of surgery:

– Hospitalization: You will go through hospitalization procedures, including identity verification and collection of health information.
– Pre-Surgery Preparation: After completing the hospitalization process, you will prepare for surgery. This includes vital sign checks, haircuts at the surgical site, and discussion of anesthesia options.
– Anesthesia: Anesthesia appropriate to your case will be applied to ensure that you do not feel pain during the surgical procedure.
– Surgery: The procedure will be performed in a sterile operating room by a team consisting of your surgeon, operating room nurse, anesthesiologist and anesthesia technician.

Postoperative:

After surgery, you should be aware of these important aspects:
– Incision Care: The surgical area will be covered with sterile bandages and dressings. It is important to keep the incision area clean and dry as directed by your doctor.
– Follow-up: You will usually have a follow-up visit 7-10 days after surgery. Sexual intercourse can usually be resumed after six weeks, but your doctor may adjust this timeline in special cases.
– Recovery: Recovery times may vary between individuals, so carefully follow your doctor’s post-operative instructions 24,25,26 to ensure a smooth recovery process and optimum results.
Although the goal of plate incision and grafting is to straighten the penis and preserve its length, remember that each patient’s experience may vary and open communication with your healthcare provider throughout the process is crucial.

Correction of Penile Curvature with Penile Implant: for Peyronie's Disease A Solution

Penile prosthesis and curvature correction surgery is a suitable approach for men dealing with Peyronie’s Disease and severe erectile dysfunction who still want to maintain a satisfying sexual life. This procedure offers a way to address both problems simultaneously.
Important Points:
– Suitability: This approach is especially suitable for individuals with Peyronie’s Disease and erectile dysfunction who are looking for a comprehensive solution.
– Additional Corrections: Depending on the specific situation, the surgeon may perform additional maneuvers during surgery to straighten the penis and address other associated concerns.
Post-Surgery Recovery:
– Duration: Typically patients stay in the hospital for one day following surgery. Follow-up appointments are scheduled in 7-10 days.
– Return to Sexual Activity: Patients are usually allowed to resume sexual intercourse after a six-week recovery period.

Precautions and Discussions:
– It is very important to have a thorough discussion with your healthcare provider before undergoing any penile curvature correction surgery. Understand the potential risks and benefits and make sure you are well informed about the procedure.
– These surgeries are considered specialist procedures and are recommended to be performed by experienced urologists, in line with the guidance of the European Association of Urology, to achieve the best results with minimal complications.

Before Surgery:
– Discuss with your doctor the medications you are using, especially for conditions such as diabetes, hypertension, heart disease or COPD. Blood thinning medications may need to be stopped before surgery, so it is very important to report any medication use.
– If you experience symptoms such as fever, rash, or cold shortly before your planned surgery, notify your healthcare provider as the surgery may need to be postponed.

Surgery day:
-Avoid eating or drinking anything for at least six hours before the procedure.
– While bathing is recommended the night before or the morning of surgery, avoid cleaning hair in the surgery area at home.
– Take essential items with you, such as your ID, insurance card, medications, and a minimum of money or personal items. Leave your jewelry and valuables at home.
During the day of surgery:
– You will go through hospitalization procedures that include verification of your identity, address and contact information.
– After the boarding procedures are completed, you will be directed to the relevant service area.
– Your vital signs such as blood pressure, pulse and body temperature will be measured in your service room. You may also be asked to prepare the surgery area by cutting your hair.
– Anesthesia options will be explained to you and your approval will be obtained for the type of anesthesia deemed appropriate by your surgeon and anesthesiologist.
– You will be asked to wear a one-piece operating room gown, and all clothing, removable dentures, and jewelry must be removed immediately prior to the surgical procedure.
– When it is time for surgery , a nurse and support staff will accompany you to the operating room.
A vascular access will be opened to administer the necessary medications and serum treatments before, during and after the surgery.

– An anesthesiologist will administer the appropriate anesthesia for your condition to ensure you are comfortable and pain-free during the procedure.
– The surgery will be performed in a safe and sterile operating room with a team consisting of your surgeon, operating room nurse, anesthesiologist and anesthesia technician.

After surgery:
– The surgical area will usually be covered with sterile bandages and dressings. You will receive instructions on caring for the incision site to maintain cleanliness and dryness.
– It is important to consult your doctor in case of severe swelling, pain, bleeding or discharge at the incision site.
– Patients usually have a follow-up appointment for wound healing 7-10 days after surgery. While most patients can resume sexual intercourse after six weeks, this timeline can be adjusted based on individual cases.
Although these surgical procedures aim to correct penile curvature and associated problems, it is important to remember that each patient’s experience may be different. Open communication with your healthcare provider throughout the process is key to a successful outcome.

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