Plication | Grafting | Penile prosthesis | |
Surgical technique | Put stitches on the longer side of the penis to pull the penis to the middle. | Making incision on the short side of the penis and place a graft (either vein orother material) to match the long side. | Placement of a prosthesis to help erection and straighten the penis. |
Penile length | Same as the length when stretched in the flaccid state. | 1/2 to 1 inch longer than the stretched penile length (depends on the amount of curve). | About the same as stretched penile length. |
Risk of impotence after surgery | Very small | From 10 to 50%, depending on penile circulation. | N/A |
Risk of nerve injury | small | Moderate | small |
Operation time | One hour | 3-4 hours | 1-3 hours |
Anesthesia | Local + sedation | General or epidural | General or epidural |
Hospital stay | Not necessary | Overnight stay | Outpatient/Overnight |
Return to work | 1 day | 2-3 days | 1-4 weeks (depending) |
Resume sexual intercourse | 5 weeks | 8 weeks | 5-6 weeks |
Other considerations | Cannot correct indentation or hourglass deformity. | Second incision needed in some cases. | Severe penile shortening if the device gets infected. |