When I was doing my training, it was thought that Peyronie’s Disease was rare. It was also not given much time because no one really cared about crooked penises. As it turns out, that was pretty ignorant: Peyronie’s Disease (PD) and Congenital Penile Curvature (CPC) is not only a lot more common than we thought (up to 25% of the adult population in some series’), but has devastating quality of life effects for both men and women.
I have seen grown men cry and admit to treatment for depression. I have also seen women leave their men because of the effect of this disease on all aspects of the relationship, not just the sexual part.
Treatment options for these conditions have been notoriously unsatisfying and invariably complicated. Urologists were afraid to offer a surgical solution because of the high rate of impotence and low level of happiness. After watching a friend suffer through this, I decided to learn a better way to help my patients. This was not easy because there are only a few legitimate centers of excellence in the US for this surgery and I was frankly intimidated by the 30% rate of impotence afterwards.
My first foray into the surgical arena for PD found me spending a day with one of the worlds’ experts in this surgery. He reported to me that he doesn’t worry about the erectile dysfunction because these were men who’s crooked penises prevented intercourse anyway. He would simply offer them a penile implant if they had a bad outcome from his surgery. I wasn’t at all happy with this approach; I wanted my patients to have a straight penis and to be able to have natural and spontaneous sex, with just one trip to the OR.
This led me to another true giant of penile straightening surgery, Dr. Allen Morey in Dallas, who was extremely generous with his time and his knowledge. He is an absolute innovator in Urology and has a prolific amount of publications. He literally invented a new operation to fix the penis with no erectile dysfunction and a nearly perfect record of satisfaction. Dr. Morey was kind enough to teach me his modification of the old technique so I would be able to bring this to Arizona.
This surgery takes about thirty minutes to perform and is an outpatient procedure. The incision is about two fingertips in length on the underside of the penis. This is the first innovation; all previous procedures necessitated stripping all of the skin off of the penis, or degloving. This led to a difficult recovery to say the least. The second innovation was simply placing tensioning sutures to straighten out the penis through the tiny incision; prior procedures described removing pieces of the erectile tissue of the penis. Removing this delicate tissue and the extensive dissection led to significant pain, swelling, and erectile dysfunction. This penile straightening procedure doesn’t injure any of the erectile tissue, nor do the nerves of the penis get exposed with the potential for permanent damage due to the limited incision.
This is a patient of mine who had a significant downward curve and a lateral rotational defect. You can imagine how painful and nearly impossible sex was for him and his wife. The second picture shows the finished product: a perfectly straight penis with an essentially invisible incision. Please note how clean my gloves are: there is no longer any blood loss for this procedure. This patient spent about an hour in the recovery room and went home. Back to work the next day. Years of painful sex fixed. Self-esteem restored. Marriage rejuvenated.
I cannot adequately express how excited I am to offer this innovative procedure. It is an easy recovery with great results. You do not need to suffer with this condition, nor is it as hopeless as you may have been led to believe. Please contact me if you have any questions or would like an opinion (first or second) on how I can help you.