The penile curvature surgery cost in Portugal depends on the selected model and hospital admission costs, with medical fees not included.
Peyronie’s disease occurs when scar tissue builds up inside the penis, which may cause marked curvature in more severe cases.
When the condition does not compromise anatomy or functionality, doctors may consider medication-based treatment. In more severe cases, Peyronie’s disease surgery may be indicated, and the cost varies according to hospital admission, the medical team and the type of prosthesis used.
What is Peyronie’s disease and what are its symptoms?
Peyronie’s disease is characterised by the accumulation of small scars that form fibrous plaques inside the penis, which may cause abnormal curvature that is noticeable during erection and may make sexual intercourse difficult or even impossible.
The main causes are associated with microtrauma to the penis during intercourse, sports activities or falls. In addition, inflammation, genetic conditions, smoking, diabetes and hypertension may also be risk factors.
The most common symptoms include:
- Pain during erection;
- Palpable plaques or nodules in the penis;
- Reduced ability to obtain or maintain an erection;
- Erectile dysfunction;
- Anxiety and stress related to sex.
When is penile curvature surgery indicated?
Peyronie’s disease surgery is indicated when penile curvature interferes with or prevents intercourse, causing pain or discomfort during sexual activity.
However, it is important to note that the surgical decision does not depend exclusively on the patient. Therefore, it is essential that a urologist specialised in Peyronie’s disease assesses the case to determine whether the surgical procedure is truly the best treatment option.
How much does Peyronie’s disease surgery cost?
Because it is a relatively complex procedure, the penile curvature surgery cost has several variables that may affect the overall investment required.
Among the main factors to consider are:
- Is there health insurance coverage for hospital costs and surgical materials?
- Will the penile reconstruction performed during surgery require grafts or not?
- What is the degree of curvature caused by Peyronie’s disease? Is there erectile dysfunction?
- Will a penile prosthesis implant be required? If so, will it be malleable or inflatable? What will the prosthesis brand be?
- Does the patient have comorbidities, such as diabetes and hypertension?
- Does the patient have a history of radical prostatectomy due to prostate cancer?
- Will the surgery be a primary procedure or a reintervention?
- What will the medical team composition be? How many professionals will be required?
These are only the main factors that need to be analysed when preparing an estimate for a procedure of this type.
However, so that you have at least an initial idea of the price of penile curvature treatment, we have prepared an estimate based on Dr Paulo’s experience.
When preparing an estimate for Peyronie’s disease surgery, consider the following costs as a reference:
- Hospital admission cost: between €1,800 and €4,000;
- Penile prosthesis cost in Portugal, if required: between €1,200 and €2,000 for a malleable prosthesis, and between €5,000 and €9,000 for an inflatable prosthesis;
- Medical fees: defined after clinical assessment, due to an ethical and legal requirement of the Code of Ethics of the Portuguese Medical Association.
In general, the cost of surgery for the treatment of Peyronie’s disease ranges between €7,000 and €12,000, excluding medical fees. Dr Paulo Egydio provides more information on how these values are applied in Brazil:
@drpauloegydio Gostou? Assista na integra no Youtube. Link na Bio. #emc #drpauloegydio #urologista #saudemasculina #peyronie #cirurgia 👨🏻⚕️ Dr. Paulo Egydio, MD, PhD 🪪 CRM: 67482-SP RQE 19514 💪🏻 Especialista em Urologia e Andrologista 🏫 Urologista formado pela USP 🏥 Av. Brig. Faria Lima, 4300 – Torre FL Office, Cj. 710 – Itaim Bibi, São Paulo, SP 📱 WhatsApp: 11 98330-0227 ☎️ Telefone: 11 3077-3647
To learn more about how surgery is performed in Portugal, contact the clinic.
What are the benefits of penile curvature surgery for Peyronie’s disease?
According to patient reports and scientific studies, surgery for Peyronie’s disease may provide benefits, which vary according to each case. These may include:
- Treatment of penile curvature: the objective of surgery is to straighten and align the penis, improving its functionality;
- Possible symptom relief: in some cases, patients report improvement in pain during erection and associated discomfort;
- Support for erectile function: when there is an appropriate surgical indication, patients report improvement, although this depends on individual factors and the technique used;
- Positive impact on self-esteem: treatment of the deformity may contribute to the patient’s quality of life.
Correction of Peyronie’s disease: main procedures
The penile curvature surgery cost is not the only concern for candidates. Men also need to understand how doctors perform the procedure.
This is because specialists may perform penile curvature correction surgery using different techniques, such as grafts, tissue expansion or penile prosthesis implantation.
Penile reconstruction with or without grafts?
In penile surgery with grafts, the doctor removes the scar tissue and reconstructs the area with healthy tissue grafts.
The benefits of graft surgery include preservation of erectile function and improvement of curvature. However, this method has disadvantages, such as the risk that the body may reabsorb or reject the graft.
Penile graft
A graft is tissue removed from a part of the body without its own blood supply. Although the technique may preserve erectile function and improve curvature, it has been falling out of use due to disadvantages such as:
- It requires many suture lines that may be felt by the patient after healing;
- As grafts have different sizes and thicknesses, the penis may develop a “bump effect” that is noticeable to the touch;
- Because there are different sizes and thicknesses, the penile graft may have different levels of resistance, which increases the risk of rupture;
- The graft has no blood supply, so the tissue tends to decrease in size.
Tissue expansion
Tissue expansion is a technique that consists of making incisions in the fibrotic area of the penis. The cuts help relax the tissues, reducing the tension caused by the curvature and making the penis straighter.
A study published in the Asian Journal of Andrology on penile lengthening techniques associated with penile prosthesis analysed 416 patients and showed an average gain of 3.3 centimetres in penile length, in addition to curvature correction.
In addition, the same publication also reports an incidence of haematomas of approximately 20% and an infection rate of only 0.24%. There were no records of glans necrosis.
Peyronie’s disease surgery: do I need a penile prosthesis?
Erectile dysfunction is a common problem in men with Peyronie’s disease. This happens because penile curvature caused by scar tissue accumulation produces changes in the internal structure of the penis, making the blood flow required for erection more difficult.
In this case, a penile prosthesis may be indicated because the implant helps restore penetration capacity.
As Peyronie’s disease is progressive, meaning that it may progress over time, penile prosthesis implantation is an alternative indicated in some cases to help restore sexual function.
In addition, another important point is that the progression of Peyronie’s disease may require surgical interventions at certain stages. In this context, the prosthesis may contribute to a more stable solution, according to medical assessment.
Malleable penile prosthesis implant
Malleable penile prosthesis implantation, also known as semi-rigid implantation, consists of placing flexible cylinders inside the corpora cavernosa.
The main characteristic of this type of prosthesis is that it keeps the penis elongated while allowing it to be accommodated flexibly in underwear. Therefore, to initiate intercourse, the man must position the penis upwards.
The Portuguese National Health Service (SNS ) may cover the procedure in specific cases, subject to strict clinical criteria.
Inflatable penile prosthesis implant
The inflatable penile prosthesis is a type of prosthesis composed of three components: a saline reservoir, a pump and two cylinders.
Its operation depends on activating the pump, which sends saline to the cylinders. This movement makes the penis become erect.
The value of surgery to correct a curved penis with an inflatable prosthesis varies according to the type of prosthesis, the hospital and the medical team. In most cases, the costs are borne by the patient, although support from health insurance may exist.
@drpauloegydio ” O custo do implante peniano compensa em comparação com o uso contínuo de medicamentos?” No vídeo de hoje, o Dr. Paulo Egydio explora a questão. 👨🏻⚕️ Dr. Paulo Egydio, MD, PhD 🪪 CRM: 67482-SP RQE 19514 💪🏻 Especialista em Urologia e Andrologista 🏫 Urologista formado pela USP #medicamento #cirurgia #proteseinflavel #protesemaleavel #saudemasculina #tecnicaegydio #drpauloegydioexplica
Schedule your consultation for Peyronie’s disease treatment
More than simply knowing the cost of Peyronie’s disease surgery, the patient should understand that the clinical approach must be individualised and based on a thorough medical assessment.
Dr Paulo Egydio is a urologist, researcher and specialist in Peyronie’s disease in Lisbon, with experience in the treatment of penile deformity and penile implant surgery.
If you have changes compatible with Peyronie’s disease, contact the clinic and get more information about your case.
