Who can straighten my bent penis?

Curvature of the penis or bent penis.

Preamble. Some flexion or curvature of the erect or flaccid penis is very common and hardly deserves the status of “a condition”. Approximately 50% of all men will have a slight bending or curvature of their penis at some stage or another in their lives. This should not be seen as a problem nor should man be aware of it.

Bends or flexes; and I use both terms synonymously, it can be “lateral” pointing to the left or right. Or it can be “ventral,” that is, sloping downward or forward, or dorsal, sloping upward or backward, toward the body. Or a penis curvature can be a combination of all four directions depending on where the internal constrictions occur.

Anatomy of an erection. Along the entire length of the penis, three spongy chambers or cylinders run. To achieve an erection, these spongy chambers must fill with blood and become engorged. Along each side of the penis we have two chambers called Corpora Cavernosa, while at the bottom there is a single chamber called Corporus Spongiosum. All cameras are interconnected. The outer lining of each of these spongy cylinders is a stretchable elastic membrane called Tunica Albuginea. This is where the problem occurs.

For an erect penis to be straight, all three chambers need to be filled with the exact same amount of blood, under the same amount of pressure, and held there by three separate albuginea tunics of exactly the same elasticity. . When you think about it this way, is it any wonder that perfect geometric symmetry cannot always be achieved?

Causes of curvature or flexion of the penis. There are mainly three causes for the curvature of the erect penis. These are:

(1) Congenital. This is the common situation where a man endures some asymmetry in the way his erections develop. Normally, this life-long situation does not progress. Or if it progresses, it does so very slowly.

(2) Traumatic. It is a curvature in the penis caused by some trauma to the Tunica Albuginea that leads to the deposit of non-elastic fibrous scar tissue in that damaged area. The curve will be far from that injury. The causes of such trauma could be the too frequent use of injections into the penis as a treatment for erectile dysfunction. Or another common cause could be a partial tunic fracture from an accident during sexual activity. In most cases, these fibrous plaques can be felt by an experienced examiner or by the man himself.

(3) Peyronie’s disease. This term is sometimes used as a generic term for all curvatures of the penis. That is wrong. Peyronie’s disease is a separate entity. Again, as with ALL penile curvatures, the fault lies in the tunic where, for reasons that are not understood, there is a deposition of fibrous tissue that prevents the symmetrical expansion of one or more of the cancellous chambers or cylinders. Peyronie’s disease may or may not be progressive.

Treatments for the curvature of the penis. This is where you should use extreme caution. Particularly with the advent of the internet, this entire area has turned into shark infested waters. Do a Google search on penis curvature and it will show page after page for guaranteed money-back ways to straighten your bent penis. But do any of them work?

I claim to have no experience in this area, but I have just spent the last four hours searching the internet on this subject on your behalf. All my instincts as a doctor tell me that none of these expanders, stretchers, splints, exercises, medications, or even injections do or can do anything at all for penile curvature. However, it is not just instincts that inform me. Two additional factors lead me to this conclusion.

(a) It already appears that at least 95% of the entire curvature of the penis is caused by the accumulation of fibrous plaque or scar tissue in the tunic Albugínea. Common sense, if nothing else, seems to indicate that scar tissue is not dislodged simply by stretching or pulling. In fact, if anything, it can be made worse by such futile efforts.

(b) If any of these things worked to straighten a crooked penis, surely its protagonists would be delighted to demonstrate it by means of a verifiable controlled clinical trial and not just as an anecdote. However, as you search, nowhere on the Internet will you find anything remotely close to scientific evidence for the validity of these “cures.” Please correct me if I am wrong here, in the absence of such scientific evidence, however I am inclined to dismiss all non-surgical conservative cures for penile curvature as completely false. It’s your money at the end of the day.

Is it necessary to treat the curvature of the penis? Of course, this is the real question to ask yourself. Yes is the answer, but never, in my opinion, just for aesthetic reasons. Never have penis surgery, and that’s what we’re talking about, getting your penis straightened just because you don’t like the way it looks or someone else doesn’t. The risks of making things worse instead of better are simply too great. As an interim solution to formal surgery, it may be worth considering injecting long-acting corticosteroids into the tissue causing the shock. Again, this will require careful investigation on your behalf.

In my opinion, the only man who should consider penis straightening surgery is the one who is in a situation where things have progressed or seem to be progressing to the point where he can no longer comfortably have sex. As long as a man and his partner can have and enjoy sex comfortably, rushing to surgery is likely a mistake.

Surgery. It is very important I believe that whoever is committing to operate your penis to straighten it has a lot of experience in this regard and works in an accredited center of excellence. Don’t be afraid to ask the tough questions. Is the urologist in question published, for example? Do you have a particular experience in penis curvature surgery or is it something you only occasionally turn your hand to because no one else is there? What are your results? Can you speak to an ex-patient? Very unlikely, but it doesn’t hurt to ask?

There are two approaches to surgically treating the scar tissue that results in the curvature of the penis. One is to simply remove it and replace it with an expandable tissue graft. The other is to leave the scar in situ and shorten the tunic on the contralateral side so that they balance each other. What you would like is considerable and measurable improvement, but not perfection because, in most situations, perfection may simply not be achievable.

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