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kathrynjanos
01-07-2011, 03:37 PM
Hey all,

Recently, I suffered what I believe to a penile fracture, or some sort of other injury. We won't go into details on how, but I have some questions for anyone with some willingness to venture a guess to the answers of those questions.

For starters, about the injury. I noticed it probably not immediately, though at the time I wasn't exactly comfortable anyway, and I seem to recall feeling a "pop" sensation, like when get a cramp in your neck, and you stretch it out and feel that popping sensation as things realign. Like I said, I can't confirm this, because this is a sort of "after the fact" thing that I realized a few days afterwards.

Initially, it became quite uncomfortable, bordering on painful to get an erection, and would be painful if at any kind of pressure was put on it (even from, say, tight underwear or pants). The pain has lessened since, but it is hardly gone away entirely. Perhaps I'm used to it, or avoid activities that would aggravate it, but that's normal for any kind of persistent injury. I have NOT been evaluated by a urologist yet - it didn't strike me as a severe injury immediately. I am likely to visit one soon, however.

Everything I've read regarding penile injuries/fractures indicates that surgery is the only option to correct them. Obviously, if this is the case, I'd really rather not have to do multiple surgeries on my tag-alongs, Weebl and Bob down there. I'd really rather just take care of two birds with one stone, and seek SRS sooner rather than later.

Pie taste of sausage and beans.

Questions:
1) Most SRS surgeons are urologists, isn't that correct? Or at least they have experience in that field? I've found a number of sites during the searching about this problem that indicate that doctors who perform these types of repair surgeries also perform SRS, though my leading candidate, Dr. McGinn does not have anything on her site about it.

2) Some of these surgeries are quite costly, equivalent to SRS. If this is the case, that is, my SRS surgeon of choice can perform that, does anyone know if they could perform the SRS as the corrective surgery? Granted, it would require coding the surgery as a reconstructive or some such surgery, but on the larger picture, it's not really different.

Basically, yes, I know that these questions are just much better off being answered by the doctors and their staff directly, but I just want to get a sense of your thoughts before I went forward and asked this to the professionals.

Faith_G
01-07-2011, 04:23 PM
I'd get to a doctor fast.

http://en.wikipedia.org/wiki/Penile_fracture#Treatment_and_prognosis

Leanne2
01-07-2011, 04:28 PM
I had the same thing happen to me. There was a "pop" feeling during intercourse. Now my penis bends up at a 45 degree angle from half way when it is erect. I haven't done anything about it because it doesn't hurt. I'm not planning on SRS so I'll just have to live with my little up pointer. It would be too good to be true for insurance to pay for SRS to fix the problem. Good Luck! Leanne

kathrynjanos
01-07-2011, 08:36 PM
Thanks for the concern Faith, but I don't have any of the worse complications, such as bends and things. I also don't have any of the major symptoms other than the situation specific pain, and no internal bleeding apparent. I'll give a quick call to the urology dept of the hospital I work at and get an appt Monday.

Zenith
01-08-2011, 04:19 AM
Yes, get examined ASAP for your peace of mind.

Marci is an OB/GYN and I think McGuinn is a DO and a plastic surgeon. I did work with the chief of Urology at a hospital once and there was talk of SRS falling under that discipline and possibly having a resident or two learn the technique but in this case it didn't pan out....

Karen564
01-08-2011, 04:31 PM
Medical Coding wise, the 2 surgeries are not even close...so no, your not gonna get insurance to pay for srs if you were diagnosed with some sort of penal injury....hope that answers one of your questions.....to operate on the penis due to an injury will fall under a Repair (male) cpt codes 54300-54440
Intersex surgery is whole nother story..

of course there's always the amputation route...cpt code 54125

suzy1
01-08-2011, 04:48 PM
Medical help as Zenith advises is a good idea. But it should settle down and mend by itself given time.

CharleneT
01-08-2011, 08:24 PM
I seriously doubt a SRS surgeon would work on your until the problem is completely healed. Remember that they re-use almost everything, I bet it would be malpractice to do plastic surgery on an injured area/structure. As well, they are not going to even consider the SRS unless you meet the SOC criteria . . .

Not sure of the backgrounds of the various SRS surgeons, but I think most are trained in plastic surgery techniques.

Stephenie S
01-09-2011, 03:30 PM
SRS is cosmetic plastic surgery, NOT urology. The two fields are VASTLY different.

I am constantly amazed at the number of people who seem to want to "trick" the system into supporting a gender change. If this is what you really want, then put on your big girl panties and own up to your desires. Admit to being responsible for your own desires. Take responsibility for who you are what what you want. Transition can remain a fantasy, but until you own it, that's all it will ever be, just a fantasy.

Zenith
01-10-2011, 02:13 PM
SRS is cosmetic plastic surgery, NOT urology. The two fields are VASTLY different

Plastic surgery is different than urology yes...but urology involves the male urinary tract/reproductive system and guess what is operated on during MTF? The glans, dorsal neurovasculature, and even urethral mucosa are reused. So Urologists know the territory. I am serious, a major university medical center I worked at indeed had urologists looking into the field.

Stephenie S
01-10-2011, 03:13 PM
Hmm. What part of, "SRS is cosmetic plastic surgery, not urology", didn't you understand?

Zenith
01-10-2011, 03:18 PM
I am relating what was discussed by the Chief of Urology...go argue with him...

Hope
01-10-2011, 06:46 PM
Hmm. What part of, "SRS is cosmetic plastic surgery, not urology", didn't you understand?

I think we all got it - it wasn't even a issue really. What part of "yes... but..." did you not understand?

Why the snotty tone? Everything OK at home?