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What is Penile Curvature? How is the Treatment Performed?

What is penile curvature?

During the formation of an erection, the penis should be located straight at an angle of 90 degrees. In addition, any kind of deformation of the penis other than a right angle to the left, right, up, or down is characterized as penile curvature.

What causes penile curvatures?

Penile curvatures and congenital can be observed due to several ailments, surgical applications, or traumas experienced in later periods.

What are the symptoms of penile deformity?

Patients with congenital penile curvature have no complaints similar to pain or pain. However, in patients with hypospadias; due to the location of the urethra in the lower part of the penis; complaints such as urine coming from this area, not from its normal place, and urinating by force according to the condition of the urinary hole, frequent urination, burning sensation while urinating can be seen. Penile curvature should generally be monitored after birth.

In patients with congenital penile curvature, penile curvature can usually be noticed when an erection begins experienced along with puberty. In childhood, however, this condition can be noticed with careful examination.

In Peyronie's disease, which is seen at an advanced age, the first symptom is a pain in the penis. This disease is acute and chronic; it occurs in two periods. The period when plaques begin to form, especially when pain is experienced at the time of erection, is acute. Immediately after this period, which lasts 12-18 months, the disfigurement is also seen, and the chronic period is started. In both periods, hard plaques on the penis are palpable. In the chronic period, the person may also experience loss of erection, depending on the location and prevalence of the plaque.

What are the risk factors that cause penile curvature?

It is known that Peyronie's disease is more common in diabetics. In addition, Peyronie's disease may be more common in patients with some collagen or connective tissue disorders. In later processes, Peyronie's disease can also be seen in people who have had prostate surgery, even if only slightly.

Does penile curvature prevent having children?

In children born with hypospadias, the proximity of the urethra to the testis region can make it difficult to have a child, as it makes it difficult to empty the semen; however, if the urinary hole is close to the end zone of the penis and the existing curvature does not prevent sexuality and ejaculation of semen, there is no reason to prevent these people from having children. Although rare externally, additional problems such as undescended testicles can be seen in some people. These symptoms need to be evaluated separately.

If a person with Peyronie's condition can experience an erection and have sexual intercourse, he has no obstacle to having children.

In people with congenital penile curvature, if the level of penile curvature is at a level that will make sexual intercourse difficult, there may be problems with having children, as there will be a problem with sexual intercourse.

How is the treatment of penile curvatures performed?

The treatment of hypospadias is surgical practice. It is very important to apply surgical treatment immediately after the penis reaches a sufficient length, just before adulthood, while it is still a child. With the surgical application, the urinary hole is moved to the end zone of the penis and corrected if there is curvature.

What should patients pay attention to after penile curvature surgery?

After surgical application, the most important point is the recurrence of curvature. The most important reason for this is the removal of stitches due to erections experienced at night, especially in adult men. For this reason, several treatments may be recommended after the procedure to suppress nocturnal erections. After the operation, not having sexual intercourse for 4-6 weeks is necessary.

Updated at : 15-09-2022