Among the best urologists in the world, Professor Sava V. Perovic, MD, PhD has answered the following frequent urological questions regarding peyronies disease treatment, bent penis surgery, penis curvature correction and other male urology problems. You are welcome to submit any other questions you may have on these topics or about any other urology problems in men.
Dr Perovic is a member of the American Urological Association, British Association of Urologic Surgeons, German Urological Association, European Association of Urology, European Society for Genito-Urinary Reconstructive Surgery, European Society of Paediatric Urology, Hungarian Urological Association, Polish Urological Association, Romanian Urological Association and a Board Member of the Urological Reconstructive Surgery Section of the World Health Organization (WHO). He has 36 years of experience as a urologist and a Professor of Surgery and Urology at Belgrade University's School of Medicine.
How to straighten a bent penis caused by IPP?
“We do it by contra-lateral incision, penile straightening and grafting of the defect.”
How to sort out a bent penis?
“In Peyronie's and cases of penile curvature, the only logical way is to straighten it and restore its shape before the disease.”
How can I straighten my bent penis?
“The only proven way to do it is by surgery.”
Will masterbating curve your penis? Is there a relation between masturbating and penis curvature?
“Hardly. Only if you are super-rude with very hard hands (only theoretically).”
How to cure Peyronie's disease?
“Unfortunately, only by surgery.”
Penis curvature, whats normal?
“Curvature is any deviation from the normal axis. Bent penis surgery is advisable when the condition causes difficulty for the patient.”
Why does my penis curve to the left?
“If it is from birth, then it is a congenital anomaly. If it came later in life, the cause is Peyronie's disease.”
Why does the head of the penis curve?
“Because the distal part of the cavernosal body is affected.”
What are the reasons for a bent penis?
“A congenital anomaly is one reason — disproportion between penile sides. In the case of Peyronie's disease, excessive scarring of one part of the tunica albuginea”
Is surgery the only Peyronie disease treatment? I need a real treatment for peyronies.
“It's the only one which has proven to be successful.”
Is surgery a permanent Peyronies cure?
“Yes, in the great majority of our patients. Approximately 10% have progression of disease and then implantation of a penile prosthesis is necessary.”
Will Peyronie's disease make me impotent or cause erectile dysfunction?
“This is not likely but it is common to develop Peyronie’s Disease and erectile dysfunction concomitantly.”
Can Peyronie's be cured or only treated?
“Yes, it can be cured in the majority of patients.”
Does Dr Perovic believe plication using the Nesbit procedure is less likely to cause erectile dysfunction than tissue grafting?
“NO! Our experience has proven that grafting causes new erectile dysfunction in a small number of patients — usually when the defect is excessive and the graft is extremely large. Then we advise patient to have concomitant implantation of penile prosthesis.”
Does Professor Perovic believe the Nesbit procedure is the best way to surgically correct congenital curvature?
“Absolutely not! We almost never do it.”
Does the Perovic Procedure use grafts to replace or merely expand scarred areas of the penis and only remove calcified plaques?
“Yes.”
What criteria must candidates for Perovic Peyronie's Surgery fulfill to be considered suitable candidates?
“Suitable candidates must have stable disease without progression for a few months. However, if the patient also needs or wants a penile prosthesis, this period is not important — surgery should be as soon as possible.”
Should Peyronie's patients with erectile dysfunction consider a penile prosthesis implant or try drug treatements?
“A penile implant is a better option.”
What percentage of patients with Peyronie's disease experience pain with an erection?
“In the beginning of the disease, up to 50% in our experience.”
How does Dr Perovic minimize chance of damage to blood vessels and nerves during his procedure?
“By meticulous dissection gained by great experience. We perform this almost every day, often a few times per day.”
What types of tissues are used by Dr Perovic for grafting material? Does he use ever use the saphenous vein?
“We prefer AMS InteXen (sterile non-perforated processed porcine collagen dermal matrix) and our second choice is Surgisis® Biodesign™.”
