Penile Curvature Corrections & Peyronies Disease

Most cases, however, are the result of a poorly understood process known as Peyronie’s disease. In Peyronie’s disease, inflammation and scar tissue form along the shaft of the penis. No one is certain why this problem occurs. It may be triggered by repeated mild trauma during sexual intercourse.

What is normal penile curvature?


Is a curved penis normal? Penis curvature can be completely normal. Curves of 30 degrees or less that are not painful or worsening do not typically require treatment.

Is a curved penis normal and what is congenital penile curvature?

Some degree of curving can be present in the normal penis. In many cases, the penis 
can curve slightly to the left or right when it is erect. A curved penis becomes a problem when it causes pain and/or prevents a man from having intercourse. Congenital means present at birth. Some congenital curvature is noted and corrected early in life by a parent during diapering and dressing. Others do not discover the problem until after they have transgressed through puberty and noticed the curvature themselves. The curvature is typically noted only with erections.


What causes congenital penile curvature?

 
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The cause of congenital penile curvature is not known, but thought to be related to unequal growth of the erectile chambers on two opposite sites.

How is congenital penile curvature different from Peyronie’s disease?

Congenital penile curvature does not involve scar tissue in the elastic coverings of the erectile chambers, as is the case with Peyronie’s disease. Congenital penile curvature usually involves a downward curve or lateral curve or a combination of both. Over time, the condition of congenital penile curvature does not change.

 

How to treat Congenital Penile Curvature?

 

The treatment depends on the degree of penile curvature abnormalities. Cosmetic surgery is needed in cases where penile curvature is significantly abnormal and interferes with normal sexual functions.If the curvature is mild and there are no symptoms or discomfort, no treatment is needed.

What is Peyronie’s disease?

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Peyronie’s disease is a disorder in which scar NIH external link tissue, called plaque, forms under the skin of the penis—the male organ used for urination and sex.The plaque builds up inside the penis, in the thick elastic membrane called the tunica albuginea. The tunica albuginea helps keep the penis stiff during an erection. The plaque can develop anywhere along the penis.As it develops, the plaque pulls on the surrounding tissues and causes the penis to curve or bend, usually during an erection. Curves in the penis can make erections painful and may make sexual intercourse painful, difficult, or impossible.


Who is more likely to have Peyronie’s disease?


You may be at higher risk of developing Peyronie’s disease if you

  • Engage in vigorous sexual or nonsexual activities that cause micro-injuries to the penis

  • Have certain connective tissue NI  and autoimmune disorders

  • Have a family history of Peyronie’s disease

  • Are older

  • Have diabetes and erectile dysfunction

  • Have a history of prostate cancer treatment with surgery

 

Is there surgery for Peyronie’s disease?


Surgery has been shown to be the most effective treatment for Peyronie’s disease in correcting the curvature of the penis. However, it is usually only recommended in severe cases for patients who fail to respond to non-surgical therapy and have curvature for longer than 12 months.

Several types of surgeries treat Peyronie’s disease.


Grafting. In this surgery, your andrologist  will remove the plaque and replace it with a patch of tissue that was taken from another part of your body, such as skin or a vein from your leg, grown in a laboratory, or from organ donors.This procedure may straighten the penis and restore some length that was lost due to Peyronie’s disease.

Plication. In plication surgery, surgeon  will remove or pinch a piece of the tunica albuginea from the side of the penis opposite the plaque to help .Plication cannot restore the length or girth of the penis, and the penis may become shorter.


Device implantation. Penile implants may be considered if a man has both Peyronie’s disease and ED.


What happens if Peyronie’s disease is left untreated?

If left untreated, Peyronie’s disease may cause fibrotic, nonexpansile thickening of relatively discrete areas of the corpora tunica, typically resulting in focal bend, pain or other functional or structural abnormalities of the erect penis. Many cases resolve without treatment.

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