Maria Satchi BSc (Hons) BM FRCS (Urol)
Consultant Urological Surgeon and Andrologist
Penile reconstruction is a surgical intervention carried out to help men regain important functions like urination and sexual activity.
For many, these procedures offer the chance to recover functional aspects lost due to certain conditions, cancer treatment, trauma or surgery.
Conditions such as Peyronie’s disease, penile cancer, Fournier’s gangrene, trauma or the side effects of prostate cancer treatment can profoundly affect a man’s confidence, plus ability to urinate and have sex. This can subsequently impact relationships, self-esteem and mental wellbeing.
Peyronie’s disease treatment options
In Peyronie’s disease, the formation of fibrous scar tissue within the penis can cause pain, shortening, erectile dysfunction and varying degrees of curvature. While conservative treatment, stretching devices or medical therapy may be suitable for some, reconstructive surgery should be offered when severe curvature or significant loss of erectile function is present.
This may involve penile straightening surgery or a penile prosthesis. This includes a thorough assessment by a specialist and detailed counselling to ensure the best option is selected for each individual.
A discussion around non-surgical
and reconstructive options enables
men to make informed decisions.
Penile reconstruction after trauma
In certain cases of penile cancer treatment, trauma, debridement of skin in Fournier’s gangrene or after radiotherapy, men can be left with outcomes that are not only physically challenging but also cosmetically distressing.
Penile swelling, known as lymphoedema, can also occur causing difficulty with hygiene, discomfort during intimacy and can impact body image and self-esteem. In severe or persistent cases, surgical intervention can be considered to remove the affected tissue to restore comfort and appearance.
Reconstructive options and outcomes
A discussion around non-surgical and reconstructive options enables men to make informed decisions. Depending on the individual case, surgeons may improve outcomes using various techniques. This may involve repositioning or reshaping existing tissue, using skin grafts or applying advanced methods such as tissue flaps to rebuild affected structures. These procedures aim to restore both appearance and function, relieve symptoms and improve quality of life.
Men need to know these options exist. Surgery isn’t for everyone, but a timely discussion with a reconstructive urologist helps men make confident, informed decisions about their care.
