Urology

Penile Curvature & Treatment

Penile Curvature & Treatment
Surgery Time

Surgery Time

1 – 3 Hours
Anesthesia

Anesthesia

General Anesthesia
Hospital Stay

Hospital Stay

2 Days
Recovery Time

Recovery Time

6 - 8 Weeks

 

As with a normalizing penis with a crooked penis or a particularly rigid curvature. Among the rare uses from Erectile are the problems of having this ailment, those experienced in the course of the stiffness that will be brought or sustained by those who will come are problematic experiences. Fibrous gives the basic stage of development that will shape the forms of creations called given. Any penile specific that is present in small amounts can be considered normal. However, in order to see the incoming curve with an inferior appearance, the situation should be considered for a penile curvature taken from Peyronie.

 

What Are the Symptoms of Penile Curvature?
Although Peyronie's symptoms usually consist of physical complaints, it is recommended to be careful about the psychological symptoms that may occur due to the disruption of the sexual life of individuals. The most basic symptom of penile curvature, which is defined as Peyronie's disease, is the changes that occur in the structure of the penis, as can be understood from the name of the disease. Curvature of the penis is caused by plaque or scar tissue in the penis structure called tunica albuginea. For these reasons, the hardened penile tissue loses its flexibility and may cause the penis to bend during erection. Plaques may not be present yet in individuals with active disease, so it should be noted that these individuals may not have developed curvature complaints yet.

 

Another symptom that occurs with penile curvature is pain during erection. This complaint of the disease is not usually seen in the early active stages of the disease, as is the case for curvature. The pain that occurs in the curvature of the penis can be relieved to some extent by the stabilization of the formed scar tissues. In some patients, the complaint of painful erection disappears within a few years, while in some individuals there may be a life-long constant erection pain. The severe curvature of the penis may make sexual intercourse almost impossible. The development of unilateral wound or plaque in the penile inner tissue may also occur bilaterally in some individuals with Peyronie's disease. The most prominent complaint detected in bilateral involvement is the shortening of the penis size.

 

What Causes Penis Curvature?
The main mechanism underlying the development of penile curvature has not yet been fully elucidated. While damage to small blood vessels is considered a very effective factor in the occurrence of the disease, it is thought that this may be caused by sexual intercourse, sports competition, trauma or various other factors. There are 2 tube-like sponge tissues called corpus cavernosum in the penis. This tissue receives blood with sexual stimulation and swells and provides erection. Its filling with blood is due to the dense blood vessels in it. The structure in which the corpus cavernosum fits is elastic connective tissue called tunica albuginea. During the erection of the penis, stretching and stretching are also seen in this part. Damage and loss of elasticity of this tissue may be effective in the development of penile curvature.

 

Scar tissue formed in the inner tissues of the penis by various mechanisms causes an increase in the risk of developing Peyronie's disease. Detection of Peyronie's disease when the penis cannot stretch and harden properly; It is thought that the scar tissue formed in these people can have a pulling and bending effect on the penis. It is not a case of development of Peyronie's disease in everyone who has penile trauma. In most individuals, scar tissue formed after trauma disappears after the healing process. In individuals with Peyronie's disease, the scar tissue remains fixed in the penis, causing various complaints, especially deformity. There are several factors that affect wound healing. The most important of these situations can be summarized as follows:
The presence of this disease in the patient's family or close relatives is considered to be associated with an increased risk of developing Peyronie's disease.
Individuals with connective tissue diseases are at risk for the development of Peyronie's disease.
Aging increases the risk of scar tissue development in the post-traumatic healing process.
In addition to all these features, some Peyronie cases may occur without any underlying trauma history. The most important step to be taken for these cases and other penile curvature cases, which are thought to be caused by autoimmune events, is to seek support from specialist physicians as soon as possible after an abnormality in the shape of the penis is noticed.

 

Does Penile Curvature Go away on its own?
Penile curvature can rarely go away on its own. The course of penile curvature caused by Peyronie's disease usually only worsens. It is only possible to control the complaints and the abnormality in the appearance of the penis with early diagnosis and treatment.

 


How is Penile Curvature Treatment?
In the treatment approach to penile curvature, factors such as the degree of curvature of the penis and the patient's complaints are taken into account. If the patient's curvature does not worsen over time and there is no complaint that may adversely affect the sexual life of the person, physicians may prefer to follow the patient and observe them regularly. In cases where complaints are evident, applications such as drug therapy, use of various medical devices and lifestyle changes can be applied.

The drugs used within the scope of Peyronie's treatment can be in the form of tablets to be used by the patient orally, or they can be administered in the form of injections into the penis. The treatment applied in the form of penile injection is a treatment intervention that continues for several months. In addition to penile injection and drug therapy, various applications such as electrical therapy, shock wave therapy, traction therapy or the use of vacuum devices may be used in some cases. In all these patients, it is very important to stop harmful habits such as alcohol and tobacco use, or to initiate various lifestyle changes such as regular exercise.

In cases where all these attempts are unsuccessful, performing a surgical intervention known as penile curvature surgery by physicians may come to the fore. In surgical intervention, interventions such as shortening or lengthening the penis can be performed, taking into account the characteristics of the patient and the course of the disease. In some advanced cases, if there is no response despite all treatment methods, penile prosthesis can be placed on the patient.

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