|Peyronies Cure Penis Surgery Post-Operative Care|
The main goal in post-operative care for patients with grafting for correction of Peyronie's Disease is prevention of graft shrinkage.
Every graft in the body, whether 1) autologous (transfer of tissue from one site to another on the same body) or 2) heterologous (derived from organisms of a different but related species) or 3) synthetic, has a tendency towards shrinkage, including penis surgery for Peyronie's disease treatment.
The graft is not vascularized (has no vessels that circulate fluids) and during the 3-6 month healing process following penis curvature correction, scars are formed through the graft or around the graft depending on whether resorbable (able to dissolve and be assimilated) or not. There is also in-growth of blood vessels into the graft
During that period there is great tendency for shrinkage because of scarring. Every scar has a tendency for shinkage and it is completely normal during the healing process of the grafts. If patients are allowed to always have their penis in flaccid state during post-operative care, there is high risk of graft shrinkage.
In older patients who have infrequent erections, if the graft is always in flaccid state, it will shink and heal with scar tissue in that short penile position and the penis will be shortened.
* First, 2-3 days immediately after surgery, the Perovic Team starts to give patients phosphodiesterase type 5 (PDE5) inhibitors such as Viaga, Levitra and Cialis in order to induce erections.
* Second, after 10-14 days, depending on healing, Dr Perovic advises patients to use a penile stretcher and a vacuum device. Their logical physio-therapy goal is to stretch and hold the grafts in stretched position.
Patients are also prescribed antibiotics for 7¬10 days because the graft is foreign material and every time you implant any a foreign material into the body there is high risk of infection. Dr Perovic's bent penis surgery patients seldom experience serious infection — approximately 3¬4%.
When grafts and a penile prosthesis are implanted simultaneously the risk is higher, approximately 5-6%.