Penile Curvature Surgery – Complete Guide to Causes, Options & Recovery

When working with Penile curvature surgery, a surgical procedure that straightens a curved penis caused by fibrous plaque buildup. Also known as penile straightening surgery, it aims to restore functional alignment and improve confidence. The most common trigger is Peyronie's disease, a condition where scar tissue forms in the penile shaft, producing a noticeable bend. Understanding the disease, the anatomy involved, and the goals of correction helps you evaluate whether surgery is the right path.

Key Surgical Options and What They Address

The field offers several techniques, each targeting a specific pattern of curvature. Penile plication, a method that sutures the side opposite the bend to shorten the longer side works well for mild to moderate curves and preserves erectile function. For severe bends or when length loss must be minimized, surgeons may choose plaque excision and grafting, the removal of scar tissue followed by a tissue graft to fill the gap. This approach restores both straightness and length but carries a higher risk of postoperative erectile issues. When curvature is accompanied by erectile dysfunction, a penile prosthesis, an implanted device that mimics natural erections can be combined with straightening techniques, delivering both structural correction and functional improvement.

Choosing among these options depends on three main attributes: the degree of curvature, the presence of erectile dysfunction, and the patient’s desire to preserve length. A surgeon will assess the plaque’s location, the penile girth, and any prior treatments such as collagenase injection. Collagenase enzymes can dissolve scar tissue non‑surgically, but they are limited to certain plaque sizes and do not address severe bending. When the enzyme fails or the curve exceeds 60 degrees, moving to a surgical route becomes the logical next step.

Recovery timelines also differ. Plication usually involves a short recovery—most men resume light activity within two weeks and normal sexual activity within six weeks. Grafting procedures require a longer healing phase because the graft needs to integrate, often extending the abstinence period to eight‑to‑ten weeks. Prosthetic implantation adds the need for device training and may involve a brief hospital stay. Regardless of technique, postoperative care includes wound monitoring, pain management, and a gradual return to erections either naturally or with medication.

Insurance coverage, cost, and surgeon experience are practical factors that shape the decision. Many health plans classify penile curvature surgery as medically necessary when it interferes with intercourse, but coverage varies by region. Selecting a urologist who specializes in reconstructive surgery improves outcomes and reduces complications. In the articles that follow you’ll find deeper dives into each technique, patient stories, and step‑by‑step guides on pre‑operative preparation, post‑operative care, and long‑term results. Browse the collection to discover which approach aligns with your goals and to get actionable tips for a smoother journey ahead.