Is it normal when the penis is curved?
Some men can have their penises slightly bent to the left or to the right when they get erect. And this is common. But if you notice a significant erection angle that can cause discomfort or pain during your sexual activity, you should visit your health care provider for professional advice. They can be the symptoms of Peyronie’s disease.
What does Peyronie’s disease mean?
Peyronie’s disease is a condition when your penis becomes curved due to scar tissue (the so-called plaque) formed inside. This disease usually occurs in men over 40, but guys at any age can experience it.
What are the symptoms of Peyronie’s disease?
The symptoms of Peyronie’s disease are:
- penile curvature when erect (upward curvature is common)
- a hard lump (or the thickened part) in the shaft of your penis
- pain or discomfort experienced during erections
- penile deformation (it can acquire the form of an hourglass)
- reduction in penis length or circumference
These symptoms are common, and men may experience only part of them. Some guys can have more than one plaque in the shaft, but it is rare. Some men report that they feel pain during erection, while others have none. If your penis aches, the pain may be alleviated over time. But in severe cases, penile curvature results in difficulties in having sex (due to painful discomfort) or causes erectile dysfunction.
What are the causes of Peyronie’s disease?
Nowadays, doctors cannot say what exactly causes Peyronie’s disease. It is supposed that the condition can result from an injury (penis bending or hitting) that leads to bleeding inside a phallus. In some cases, the plaque can start to develop with no apparent cause, or in families.
What treatment methods for Peyronie’s disease are available?
If you experience no pain, and the condition does not affect your sexual activity, you may need no treatment. The disease can disappear over some time.
However, if your penile curvature causes discomfort during your sexual intercourses, you should contact your health care provider and apply some non-surgical treatment, including medications and steroid injections into the affected area. But there is no enough evidence that proves their effectiveness.
The National Institute for Health and Care Excellence (NICE) recommends Extracorporeal Shockwave Therapy (ESWT) where ultrasound scanner is used, and soundwaves target the plaque. Though this method is considered to be safe, its effectiveness evidence is limited.
In severe cases, you should probably resort to surgery to treat Peyronie’s disease. But medical experts recommend you to wait at least one year before any surgical intervention. The condition may show improvements as time goes by.
If surgery is the only way out, there are two common types:
- Removing the plaque formed inside the penis and attaching a tissue graft to its place
- Removing or adjusting the tissue on the side of your penis opposite to the plaque to eliminate the curvature.
However, this treatment is not an excellent solution. The first method can cause some erection problems. The second approach can lead to reducing the length of your penis.
Sometimes, a special device may be implanted to straighten the penis.