Peyronie's surgery in Spain carries risks like penile shortening, erectile dysfunction, and sensory changes. While specialized JCI-accredited centers in Madrid and Barcelona maintain high success rates, patients must weigh these against potential functional changes. Outcomes depend heavily on the specific surgical technique chosen for curvature correction.
- Penile shortening: Most common after plication, typically involving 0.5 cm to 1.5 cm loss.
- Erectile dysfunction: Grafting procedures carry a higher risk, affecting 5% to 53% of patients.
- Sensation loss: Glans numbness occurs in 4% to 21% of grafting cases due to nerve manipulation.
- Recurrence rate: Curvature may return in 8% to 11% of patients following primary surgical repair.
- Device complications: Penile implants face a 1% to 8% infection risk or potential mechanical failure.
Bookimed Expert Insight: While many focus on the surgery itself, our data shows that selecting a high-volume specialist is the most critical factor for minimizing complications. In Spain, we see a concentration of expertise in centers like Hospital Universitario HM Sanchinarro and Quirónsalud Marbella. Dr. Antonio Allona at Hospital Ruber Internacional and Dr. Antonio Alcaraz at Hospital Quiron Barcelona bring over 30+ years of experience. This level of seniority often correlates with better preservation of length and erectile function compared to less experienced providers.
Patient Consensus: Patients often describe penile shortening as a significant emotional challenge despite achieving a straight result. Many emphasize the importance of waiting until the disease stabilizes for at least 12 months before proceeding with any surgical intervention.