The curvature of the penis, which should normally stand straight at a 90 degree angle in erection, is called “Penile Curvature”.
Penile curvature may be congenital or may occur later due to acquired causes (Peyronie’s Disease, trauma or surgical intervention, etc.)..
Congenital Penile Curvature: When there is congenital growth retardation in one of the two spongy tissues (cavernous structures) that provide erection in the penis, curvature occurs in the penis towards the short side during erection. This situation cannot be treated with medication, it must be corrected surgically. In appropriate cases, using simple plication techniques to correct the curvature, plication stitches are placed on the reverse side of the curvature to correct the curvature.
Another reason for congenital curvatures is the curvature seen in cases where the urinary hole, called hypospadias (prophetic circumcision) or epispadias, is not in its normal place. The curvature is corrected during the surgery performed to restore the urinary hole normally.
Subsequent Penile Curvature: The most common cause of penile deformities and curvatures in advanced ages is “Peyronie’s Disease”. Peyronie’s disease is a disorder characterized by structural changes (plaque and scar tissue development) that occur in the structure of the outer sheath (tunica) surrounding the spongy tissues that provide hardening in the penis. As a result of these structural changes, palpable stiffness, deformity, pain and erection (hardening) problems occur over time. Curvature and painful erections due to the disease can make sexual intercourse difficult or even impossible.
The treatment of Peyronie’s Disease, a disorder that is frequently observed between the ages of 40 and 70 and affects about 6% of men in this age group, differs according to the acute and chronic periods.
Medication: There are drug treatments given orally (Vitamin E, NSAIDs etc.) or injected into the penis (Collagenase, Verapamil, IFN etc.). Oral medications do not seem to be very effective.
ESWT (Extracorporeal Shock Wave Therapy): It is a new and permanent treatment method used in the treatment of this disease. It is a painless procedure that does not require anesthesia and is applied in 6 sessions of 20 minutes in office conditions. They both reduce the formation of plaque with shock waves and correct the erection by providing the formation of new vessels in the penis.
Penis Traction Device: It is recommended to be used especially in the acute phase to prevent shortening and deformity in the penis.
Surgical Treatment: In cases suitable for this purpose, the curvature can be corrected by placing plication stitches on the reverse side of the curvature using plication techniques. In more complicated cases, the plaque areas formed in the penis can be removed and replaced by patches (grafts) taken from the leg or oral mucosa or synthetic grafts. “Penile Prosthesis” is required in cases where erection is not observed or there is no possibility to correct deformity with graft materials.
NOTE: The content of the page is for informational purposes only, please consult your doctor for diagnosis and treatment.