Medical Video: Insight into Peyronie's Disease: Cause and Treatment for Penis Curvature | UCLA Urology
Some men may have a bent penis, that is, the penis curves sideways, upwards or downwards when it is in a normal position. This is common, and a curved penis in most men is not a problem. However, can this condition be corrected so that the penis is straight as usual? Find out the answer below.
Get to know a twisted penis
Generally, men who experience a bent penis are only worried that they will experience an erection that is painful or will interfere with sex with a partner.
When a man is sexually aroused or has an erection, the main blood vessel in the penis enlarges to allow an increase in blood pressure in the penis and is trapped in the arteries so that the penis tightens and hardens.
Crooked penises generally occur in this condition. This is caused by the nature of the human body which is indeed not symmetrical.
In a few cases, the penis arch when tightened can be so extreme that it can hurt during penetration, or it may be difficult to erect. This extreme extreme condition of the penis is known as Peyronie's disease.
Peyronie's disease is a problem in the penis caused by scar tissue, or called plaque, which forms inside the penis.
You are more at risk of experiencing Peyronie if you have a genetic disorder that is passed down from your parents, has a penis injury during sex or a former surgery, or as a side effect of radiation therapy for prostate cancer.
A bent penis usually does not require treatment. However, if you have a penis that is very bent and causes pain or irritation during sex, immediately visit your doctor.
Treatment for a curved penis
A bent penis can be straight back by doing several treatments according to the doctor's advice. However, this condition will actually improve over time, so you don't need treatment too much.
Usually the doctor will advise you to wait 1-2 years or more before they try to cure it. The doctor will recommend this if:
- Penile curvature is not severe and does not worsen.
- Can still get an erection and have sex without or with little pain.
- Has good erectile function.
If your symptoms are severe or worsen with time, the doctor will consider treatment or surgery to overcome them.
First, the doctor may prescribe a drinking drug such as pentoxifylline or potassium para-aminobenzoate (Potaba).
If it doesn't work, you may get a verapamil or collagenase (Xiaflex) injection into the penile scar tissue. If this doesn't work too, the doctor may do the surgery.
However, this operation will only be carried out for men who cannot have sex because of Peyronie's disease.
Surgery is usually not recommended until you have this condition for at least one year. It could also be because you experience a bent penis that gets worse or doesn't improve for at least six months.
There are several operating procedures that are commonly performed, namely:
- Sew a longer side of the penis (side without scar tissue). However, this procedure can make the penis short, and in some cases can cause erectile dysfunction.
- Incision or excision and transplant. This procedure is used for more severe cases of a bent penis.
- Penile implant. Injected implants to replace tissue filled with blood during erection. This procedure is usually performed for men who have Peyrone's disease and erectile dysfunction.
The type of operation to be performed depends on your condition. Your doctor will consider the location of scar tissue, the severity of the symptoms, and other factors. If you are not circumcised, your doctor may recommend circumcision during surgery.