What is it about?
It explains that operating a second time is much harder because of scar tissue from the first surgery. Standard techniques usually won't work a second time. Dr. Hsu explains his advanced method for navigating this difficult scar tissue to release the tightness that is causing the curve to return.
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Photo by Sakarie Mustafe Hidig on Unsplash
Why is it important?
It offers hope: It tells patients who feel "botched" that they are not permanently broken. It defines expertise: Most urologists will not attempt these surgeries due to the high risk of complications (like numbness or worsening function). By publishing on this, Dr. Hsu claims the territory of the "expert specialist." It validates the anatomical approach: It likely argues that the reason the first surgery failed is that it didn't address the deep anatomy (the fibro-vascular assembly), which Dr. Hsu prioritizes.
Perspectives
The Patient Perspective: "From despair to relief." The emotional journey of thinking you were fixed, relapsing, and finding a final solution. The Technical Perspective (Surgeon vs. Surgeon): "Why standard plication fails in revision cases." A technical argument for why a deeper dissection is necessary when scar tissue is present. The Trust Perspective: "Why you need a specialist." Emphasizing that general urologists are great for primary care, but complex revisions require a focused expert like Dr. Hsu.
Professor Geng-Long Hsu
Microsurgical Potency Reconstruction and Research Center, Hsu’s Andrology
Read the Original
This page is a summary of: Salvage Penile Curvature Correction Surgery, Journal of Andrology, December 2009, Wiley,
DOI: 10.2164/jandrol.109.008573.
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