After the event of an injury of the sexual organ and surgery to sew and repair it, many people find that they feel a hard lump under the skin, the penis begins to bend when erect, and there may be symptoms of pain as well. These symptoms are usually not the result of treatment that was wrong, but are the natural process of healing the wound of the body, which creates fibrous tissue to replace the original tissue. The restoration of the sexual organ after an injury is therefore an important step that determines the result in the long term

In many cases, the care of the fibrous tissue may be done without needing surgery again, and this depends on the size of the fibrous tissue, the level of the bending, the accompanying symptoms, and the result of the assessment of the physician

Why restoration after an injury is important

Although surgery sews and repairs the torn wound and returns the structure of the penis preliminarily, the process of healing the wound of the body creates a fibrous scar (Fibrotic Plaque) to replace the original Tunica Albuginea tissue. This fibrous tissue lacks flexibility and pulls on the surrounding structure, with the result that a state of a bent penis of the same kind as Peyronie's disease may arise, symptoms of pain while erect, and in the long term it may affect the structure of the veins that have the duty of holding the blood, giving rise to a state of weakened sexual capability from a state of a leaking vein (Venous Leak)

The assessment before beginning the programme of restoration

Suitable restoration must begin from a detailed assessment, consisting of

Examination by palpation of the fibrous tissue, in order to identify the position, the size, the thickness, and the level of hardness
The assessment of the degree and the direction of the bending of the sexual organ while erect
Penile Color Doppler Ultrasonography, in order to identify the position, the depth, and the size of the fibrous tissue accurately, together with assessing a state of a leaking vein (Venous Leakage) that may arise together with it
The assessment of the muscles of the pelvic floor, which are usually contracted and tense from the pain and the wound

The result of the assessment is used to set the intensity of the plan of care that is suitable

The technology for breaking down fibrous tissue and restoring the structure

At PYONG MEN, the restoration in the period after the surgery consists of technologies used together in order to break down the fibrous tissue and return the flexibility of the tissue

Intralesional Regenerative & Fibrosis Release (Superdose Activated Purified Growth Factor): a procedure of injecting an extract from platelets of high concentration at a particular point under the guidance of ultrasound, into the core of the fibrous tissue, in order to support the process of repairing the cells and return the flexibility to the Tunica Albuginea

High-Precision Focused Shockwave Therapy (f-ESWT): the use of low-frequency sound waves of specialised energy, sending energy deep down to the position of the fibrous tissue accurately, in order to support the breaking down of the calcium that has bound together and support the creation of new blood vessels in the area of the lesion

Mechanical Tension Therapy (Vacuum Erection Device — VED): the use of mechanical pulling force through medical vacuum equipment, in order to create an even tension in the tissue, helping stretch and break down the fibrous tissue and support the rearranging of the structure anew when used alongside other procedures

Transrectal QMR (Quantum Molecular Resonance): a procedure of inserting equipment through the anus, in order to send waves of energy to restore the nervous system and the deep structures of the blood vessels in the pelvic floor, without heat

The time frame of the programme of restoration

The adjusting of the structure of the tissue (Tissue Remodeling) takes time to respond. The programme of restoration is therefore generally in a time frame of about 2–3 months, with the frequency of the procedures and of the use of the VED differing in each plan of care. The result depends on the character of the fibrous tissue and on the length of time that has passed since the injury

The role of surgical operation, if it is necessary

Although the approach of PYONG MEN emphasises the restoration of the fibrous tissue and the structure of the sexual organ without surgery again, in some cases, such as when the fibrous tissue is large in size, the penis is severely bent, or the symptoms do not respond to the approach of treatment of the kind without surgery, surgical treatment may still be a choice that should be considered suitably. A comprehensive assessment is therefore important, in order to help the physician and the patient decide to choose the approach to care that best suits the real state of the problem

In short summary

The problems in the long term after an injury of the sexual organ usually arise from the fibrous tissue created during the process of healing the wound
Suitable restoration should begin from a detailed examination by palpation of the fibrous tissue, together with Penile Color Doppler Ultrasonography in order to assess the position of the fibrous tissue and the system of blood circulation
The main technologies used are the injection of Growth Factor, Focused Shockwave, the VED, and Transrectal QMR
Generally, the programme of restoration is in a time frame of about 2–3 months, and the result depends on the character of the problem of each individual
In some cases, particularly when the fibrous tissue is severe, the penis is very bent, or it does not respond to treatment of the kind without surgery, surgery may still be a choice that should be considered together with the physician

Frequently asked questions (FAQ)

1. After surgery to sew and repair it, must the fibrous tissue still be restored or not It should still be assessed after the surgery, because the fibrous tissue may pull on the structure, making the penis bent, hurting, or affecting the erection. Restoration therefore helps reduce the tightness and pulling, restore the flexibility, and care for the system of blood circulation connected with sexual capability

2. How soon after the surgery must the restoration begin The suitable time depends on the assessment of the physician caring for it and on the state of the wound. Generally the restoration begins when the surgical wound has healed properly

3. How many sessions is the injection of Growth Factor, and does it hurt The number of sessions depends on the character of the lesion and on the plan of care of each individual. The procedure is carried out under the guidance of ultrasound by a skilled physician

4. Can the VED be used at home or not The VED is a medical device that should be used under the recommendation of a physician according to a programme specific to the individual. It should not be used by oneself without the care of a physician

5. If it does not respond to the restoration, what is the next choice If the fibrous tissue is large in size, the bending is severe, or it does not respond to treatment that is not surgery, consulting a surgeon concerning surgical choices is still a suitable approach