Curvature of the penis

SEXUAL MEDICINE TREATMENTS

Curvature of the Penis

Having a curved penis (or a bent penis as it is commonly called), is something that many men worry about, but it is very normal. Not all curvatures are considered pathological. It may be considered problematic when the curvature affects or hinders sexual intercourse, causes difficulties during urination, or pain to the patient.

PENIS CURVATURE

Table of Contents

DEFINITION

Indication

Curved penises have different characteristics depending on the shape and how the curve was acquired.

The penis or phallic body can present with DEVIATIONS of various types:

1 Upwards: As is often the case in Peyronie’s disease.

curva de pene hacia arriba

Dorsal lateral curve

2 Downwards. This case commonly known as the recurvatum penis is generally a congenital defect (birth) and is usually observed from an early age when the penis has its first erections. The deviation is downwards and usually occurs in large penises.

Lateral curve

3 To the left.

pene curvo dorsal

Left lateral curve

4 To the right.

Right lateral curve

The deformity of the penis also varies depending on:

There are cases in which the penis curvature is associated with the urethra failing to grow. If the urinary duct is too short, it causes a “deformity,” which usually leads to psychological problems in patients. The deformity of the penis can create insecurity when having sex, and in many cases. It could directly affect or hinder sexual intercourse (and even has the risk of breaking the phallic limb during sexual play if the curvature is very pronounced).

The penis has two possible clinical forms:

A – The curved penis from the birth

The congenital curve on the penis results from the malformation of the cavernous and spongy bodies of the penis from the birth of the male. Surgical intervention is the only solution to this curvature.

Do you have pain in the penis?

75% of congenital curves are usually painless, even when very pronounced.

Info

Info

Do you have pain in the penis?

75% The congenital curves are usually painless, even when very pronounced.

The specialist must assess when the curve should be operated. This will basically depend on the severity and difficulties the curved penis causes to the patient. It is first assessed at the physical level, from defining the difficulty or even impossibility of penetration during sexual intercourse or urination. And then at the psychological level, taking into account the trauma it is causing the patient.

The “congenital curve of the penis” is a morphological alteration. Correction is often required in cases where there is a sexual health problem or is simply cosmetic surgery for others.

B – The bend as a consequence of diseases or injuries.

Peyronie’s disease causes an abnormal curvature on the erect penis. It bends noticeably and can hinder penetration or even cause pain during intercourse. This condition usually appears after 40 years of age and can both be very uncomfortable and painful. Regarding the treatments, the first thing to note is the time elapsed since the curve appeared, the existing degree of the deviation, and how this curve affects sexual activity. Peyronie’s disease or Induratio penis plastica (advanced) is a disease that inflames the tunica albuginea, which is the fibrous membrane that covers the testicle and participates in erection. The origins of this disease are still being studied, but it usually appears related to diabetes, the consumption of certain medications and in some cases after receiving a blow to the limb during sexual intercourse.

Do you have pain in the penis?

3 out of 4 patients with Peyronie’s Disease have pain in the penis. More than half also have palpable nodules in the penis, retraction, loss of size and some erectile dysfunction.

Info

Info

Do you have pain in the penis?

3 out of 4 patients with Peyronie's Disease have pain in the penis. More than half also have palpable nodules in the penis, retraction, loss of size and some erectile dysfunction.

Non surgical treatment Peyronie (Xiaflex / Xiapex)

TECHNIQUES AND TREATMENTS

Treatments

One of the main characteristics of curved penises is the corpus cavernosum lacking symmetry. Usually, the curvature of the penis, especially the lateral curvature causes asymmetry between both corpus cavernosa.

Lontophoresis can be used to correct penis curvatures during the early stages. Thanks to lontophoresis, we can deeply apply a drug that eliminates the nodules causing the penile curvature.

In more severe cases, these problems are solved (for the congenital acquired curve) through surgical intervention. The biggest problem that usually comes with this operation is the reduction of the patient’s virile member. This is because until recently, the only thing that could be done was to cut the longer part of the corpus cavernosum to result in two equal bodies. The greater the curvature, the greater the amount needed to be cut.

Thanks to the in depth development and research on this technique, MD Natalio Cruz, head of the medical services of our Clinic, can guarantee that the shortening of the penis in these surgeries is reduced to a minimum, thus allowing it to maintain almost in its entirety the natural size of the penis. This procedure involves enlarging, using graft to shorten the cavernous body, and thus making the penis completely symmetrical without reducing the size. Another newly developed method involves the rotation of the corpus cavernosum. This method like the previous one, considerably eliminates the shortening of the penis thus maintaining 95% of the initial size before the surgical intervention.

pene curvo

Congenital penis curve

rotación de cuerpos cavernosos

Corpora cavernosa rotation surgery

resultado rotación de cuerpos cavernosos

Corrected penis curve without loss of size

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En cumplimiento del Reglamento General de Protección de Datos le informamos que los datos por Vd. proporcionados serán objeto de tratamiento por parte de Andromedi con la finalidad de prestarle el servicio solicitado y/o contratado. Los datos no se cederán a terceros salvo en los casos en que exista una obligación legal. Para más información puede consultarla pinchando aquí.

OPINION

Real testimonies from our patients

Emilia Clarke
Emilia Clarke
Emilia Clarke
SOLUTIONS

Results

About 99% of cases with this problem have a solution. The penis maintains its full sexual and reproductive functionalities. After the operation, the patient retains 95% of the initial size of his penis.

Book your appointment in our center by clicking here

Medical evaluation

Tips

We must not delay and need to get the surgery done immediately the malformation is detected.

It is much better if performed before the male becomes sexually active so that he begins with a full and healthy sexual life.

The sexual health of men is key in their development and emotional stability, and taking care of them from a very young age is very important.

When dealing with these patient treatments, we must remember that they usually arrive with fear and distrust due to misinformation.

“The discretion in the consultation and empathy in combination with the importance of maintaining the size of the penis are fundamental for good doctor/patient understanding in these types of treatments.”

Dr. Natalio Cruz

Author

Dr. Natalio Cruz


El Dr. Cruz, con 25 años de experiencia médica, ha sido hasta 2016 Jefe de la Unidad de Andrología en el Servicio de Urología del Hospital Virgen del Rocío de Sevilla, Coordinador Nacional de Andrología de la Asociación Española de Urología (AEU) y Secretario General de la ESSM, cargos que ha delgado para centrarse de lleno en el ilusionante proyecto de ofrecer una consulta médica privada de alto nivel en Sevilla.

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