Penile Plication Surgery in Dubai

Penile plication surgery is a surgical technique used to straighten an abnormally curved penis, particularly in men with Peyronie's disease or selected cases of congenital penile curvature. At Dr. Rami Hamed Center (DRHC) in Dubai Healthcare City, our specialists provide individualized assessment and penile curvature correction in Dubai based on the severity of the curvature, erectile function, penile length, and the patient's treatment goals.

What Is Penile Plication Surgery?

Penile plication is a surgical procedure that straightens the penis by placing sutures in the tunica on the side opposite the curvature. By shortening the longer side, the procedure helps balance the two sides of the penis and improve the direction of the erection.

It is generally considered for men who have adequate erectile rigidity and a curvature that interferes with sexual intercourse. Surgical treatment for Peyronie's disease is usually considered once the curvature has become stable rather than while the condition is actively changing.

Who May Benefit From Penile Plication?

Penile plication may be appropriate for men who have:

• Significant penile curvature affecting sexual intercourse
• Stable Peyronie's disease
• Adequate erections, either naturally or with erectile dysfunction treatment
• Mild to moderate curvature is suitable for a shortening procedure
• Congenital penile curvature causing functional problems

The technique may be less suitable for men with significant penile shortening, severe curvature, complex hourglass or hinge deformity, or significant erectile dysfunction. In these situations, other surgical approaches may be considered.

Assessment Before Surgery

Before penile plication surgery in Dubai, your specialist will assess the degree and direction of curvature, penile length, erectile function, pain, previous treatments, and how the curvature affects sexual activity.

When appropriate, an erection may be assessed in the clinic, and penile ultrasound or other investigations may be recommended. This helps determine whether plication is the most suitable option or whether another form of penile curvature surgery would provide a better result.

How Is Penile Plication Surgery Performed?

The procedure is performed under appropriate anesthesia. The surgeon identifies the area responsible for the curvature and places carefully positioned sutures on the opposite side of the penis.

These sutures shorten the longer side and straighten the penis. The exact number and position of sutures depend on the direction and degree of curvature.

Unlike plaque incision and grafting, plication does not require cutting into or removing the Peyronie's plaque. It is therefore generally a less extensive reconstructive approach for appropriately selected patients.

Recovery After Penile Plication

Temporary swelling, bruising, tenderness, and discomfort can occur after surgery. These symptoms usually improve as healing progresses.

Recovery instructions may include:

• Taking prescribed medication as directed
• Keeping the surgical area clean and following wound-care instructions
• Avoiding strenuous exercise during the early healing period
• Attending follow-up appointments
• Following any specific instructions regarding erections or penile rehabilitation
• Avoiding sexual intercourse until your surgeon confirms that healing is adequate

Initial recovery generally takes several weeks, although complete tissue healing may take longer depending on the individual patient and the complexity of the procedure.

Benefits of Penile Plication Surgery

For appropriately selected patients, penile plication may:

• Improve penile straightness
• Make sexual intercourse easier
• Reduce the functional impact of penile curvature
• Use a relatively straightforward corrective technique
• Preserve erectile function in the most appropriately selected patients

The primary goal is functional straightening rather than making the penis perfectly straight in every case. 

Penile Shortening and Other Possible Risks

Because plication works by shortening the longer side of the penis, some patients may notice a reduction in penile length. The amount varies according to the original curvature and the correction required. Patient information from the European Association of Urology notes that plication can result in some shortening.

Other possible risks include:

• Residual or recurrent curvature
• Changes in penile sensation
• Palpable or uncomfortable sutures
• Pain or swelling
• Infection or bleeding
• Erectile dysfunction
• Need for further corrective surgery

Your specialist will discuss the potential benefits and risks based on your individual anatomy and treatment goals.

Expected Results

Penile plication can provide significant improvement in curvature for appropriately selected patients. However, complete straightening cannot always be guaranteed, and the final result depends on the original curvature, penile anatomy, tissue healing, and the surgical technique used.

If significant erectile dysfunction or a complex deformity is present, another treatment such as penile prosthesis surgery may be more appropriate.

Penile Plication Surgery at DRHC Dubai

At the Andrology Clinic at DRHC, Dubai, patients with Peyronie's disease and penile curvature receive personalized evaluation and treatment planning.

Our specialists consider the severity of the curvature, erectile function, penile length, previous treatments, and individual expectations before recommending penile plication surgery in Dubai or another form of curvature correction.

For patients with more complex deformities, other options may include plaque incision and grafting or revision penile curvature surgery.