Does Peyronie’s surgery have side effects?
Peyronie’s disease is a condition that causes abnormal curvature of the penis, usually due to the formation of scar tissue (fibrous plaques). In more advanced cases, or when pain and deformity interfere with sexual life, Peyronie’s surgery may be a recommended option.
However, like any surgical procedure, it is normal to wonder whether Peyronie’s surgery has side effects. At Andrologia Barcelona, we explain the possible effects of this surgery and how to deal with them.
What does Peyronie’s surgery involve?
Surgery is usually indicated once the disease has stabilized (typically after 12 months) and when the curvature is significant. There are several techniques, the most common being:
- Penile plication: straightens the penis by shortening the side opposite the curvature.
- Plaque incision or excision with grafting: the plaque is opened or removed and a graft is placed.
- Penile prosthesis implantation: indicated when severe erectile dysfunction is also present.
The chosen technique directly influences the possible side effects of Peyronie’s surgery.
Possible side effects of Peyronie’s surgery
1
Postoperative pain or discomfort
It is normal to experience pain, swelling, or bruising in the weeks following surgery. These side effects of Peyronie’s surgery are generally well controlled with medication and rest.
2
Erectile difficulties
Some men may experience difficulty maintaining an erection, especially after more complex surgeries such as those involving grafts, due to temporary inflammation or vascular changes. The risk is higher if erectile problems existed prior to surgery.
3
Changes in sensitivity
A temporary decrease in sensitivity may occur, particularly in the glans, due to nerve manipulation during surgery. In many cases, this is temporary and improves over time.
4
Common surgical risks
Although uncommon, infections, excessive bleeding, or healing problems may occur, as with other surgical procedures.
5
Perceived penile shortening
This is one of the possible side effects of Peyronie’s surgery, especially with the plication technique. Although the penis is straightened, it may be perceived as shorter after the procedure.
Are the side effects permanent?
Not necessarily. Many side effects of Peyronie’s surgery, such as pain or loss of sensitivity, are usually temporary. Others, such as a reduction in length or certain changes in erectile function, may be permanent depending on the case and the technique used. For this reason, an individualized assessment and a clear discussion with the urologist are essential before making a decision.
Is surgery worth it?
For many patients, surgery significantly improves sexual function, self-esteem, and quality of life. However, it is not a universal solution and is not without risks. The key is choosing an experienced surgeon, having realistic expectations, and fully understanding the possible side effects of Peyronie’s surgery.
Peyronie’s surgery may have side effects, but these vary depending on the type of procedure, the patient’s prior condition, and the technique used. Being well informed and consulting a specialist is essential to making a safe and informed decision.
At Andrology Barcelona, we offer treatments along with all the necessary information so our patients can make informed decisions about their health safely and confidently.