Penis Curvature (Peyronie's)

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penis curvature

penis curvature, It is the act of bending the penis in other directions during erection, although it should be straight. This phenomenon is explained as a deformity caused by the abnormal development of the tissues in the male genital organ. Peyronie's disease negatively affects the person's quality of life, such as difficulty in sexual intercourse and inability to control erection.

penis curvature, It may occur in people as a result of congenital or subsequent serious trauma. Pain is not observed in patients with congenital penile curvature. The risk of Peyronie's disease is high in patients with diabetes and prostate surgery. The diagnosis of penile curvature should be made by expert urologists. penis curvature People with such complaints should consult a doctor.

  • pain in penis
  • penis curvature
  • erectile dysfunction
  • palpable nodule on penis

How Does Penile Curvature Occur?

penis curvature It generally refers to abnormal tissue that develops fibrotic, tough connective tissue behind the shaft of the penis due to various factors, angling the shaft of the penis during erection and compressing the surrounding tissue depending on its size. Peyronie's may occur as a result of bleeding from the subcutaneous tissue caused by various traumas to the fibrotic tissue, as well as the influence of some genetic factors and other diseases.

In healthy people, due to sexual stimulation, the vascular cavities in the penis, called corpus cavernosum, begin to fill with blood and expand, and the penile sheath surrounding these vascular cavities stretches and puts pressure on the veins of the penis. In this way, erection is achieved by preventing blood from returning to the body.

In Peyronie's disease, fibrotic connective tissue compresses the corpus cavernosum, which is responsible for penile erection, making it difficult to prevent or maintain an erection. In some cases, it can cause pain by compressing the surrounding nerve tissue and blood vessels.

What are the Symptoms of Penis Curvature (Peyronie)?

Symptoms of Peyronie's disease often vary depending on the location and size of the fibrotic connective tissue causing the disease. Thus, it is possible to list the symptoms encountered when the penis is bent as follows:

  • Difficulty having sexual intercourse,
  • Reduction in penis size,
  • painful erection,
  • erection problems,
  • Severe curvature in the shape of the penis,
  • Having hard tissues the size of a chickpea or lentil on the penis.
Fibrotic tissue seen in some patients is not limited to a single area but may expand throughout the penis or completely surround the penis. Left untreated, the tissue can become hardened by the effects of calcium collapse, causing serious damage or intense pain to the penis. In some patients, fibrotic tissues may occur more than once in different parts of the penis and abnormally curved penis images may occur.
 

What Causes Curved Penis (Peyronie's)?

According to research, the exact cause of Peyronie's disease is unknown. However, some disease-causing mechanisms have been identified in these studies. For this reason, it is thought that the bleeding foci that occur in the subcutaneous tissue as a result of penile trauma turn into sclerotic bands (hard connective tissue) after the wound heals over time. The trauma mentioned penis curvature or an injury that occurs during erection. It's fair to say that the risk of penile curvature increases with age, especially since tissue is more prone to injury and healing as we age.

Although of the cases occur in people over the age of forty, %8-10 occur in people under the age of 40. In younger patients, penis curvature It manifests itself with more severe symptoms such as stronger and more painful erections and erectile dysfunction.

At the same time, the absence of a history of trauma in some patients with Peyronie's suggests that non-traumatic factors may also play a role in the development of the disease. In this sense, people with unusually slow-healing wounds, especially after injury to any part of the body, are at higher risk of developing abnormal connective tissues that lead to Peyronie's disease. In addition, people with Dupuytren's disease, which results in limitation of finger movements due to abnormal connective tissue formation in the area of the finger tendons. penis curvature The risk is thought to be higher.

In short, Peyronie's may occur depending on risk factors such as genetic background, age, other medical conditions, and history of trauma.

Congenital Penis Curvature

If the development of one of the three spongy tissues in the penis in the womb is slow, congenital penile curvature may occur. In congenital Peyronie patients, it is usually not detected until adolescence. However, the situation where the urinary hole, known as "hypospadias", is located elsewhere on the penis, may also cause penis curvature over time.

penis curvature

Early Diagnosis of Penile Curvature

Men may hesitate to apply to the hospital when they experience sexual dysfunction for some traditional reasons. However, it should not be forgotten that the earlier they are diagnosed, the easier it is to treat these diseases, like all other diseases. However, it should not be forgotten that with today's developing technology, there are very simple solutions such as ESWT shock wave therapy in cases of sexual dysfunction. Therefore, it is important for men with Peyronie's disease who experience pain and stiffness in the penis to come to the hospital as soon as possible for early diagnosis.

Diagnosis and Diagnosis

Diagnosis and diagnosis of penis curvature is provided by examination by urology doctors who are experts in their field. Fibrotic connective tissue occurs on the dorsal part of the penis shaft for different reasons and has an abnormal appearance during erection. In Peyronie's disease, fibrotic connective tissue prevents erection by applying pressure to the cavernous structure that provides erection.

It may occur as a result of trauma to the fibrotic tissue, bleeding in the skin tissue, or genetic diseases. In healthy men, with sexual stimulation, the vascular spaces of the penis begin to expand by filling with blood. The penis sheath around the vascular cavities stretches, putting pressure on the veins and preventing blood from returning to the body, resulting in an erection.

Treatment Methods

It is not possible to completely treat penile curvature with current treatments. However, there are treatments that improve the patient's quality of life and relieve symptoms. In this sense, the treatment of penis curvature and the points to be considered are as follows:

• It is recommended to monitor patients with mild symptoms. Since the main approach to treatment is to remove the connective tissue responsible for the disease, intervention is generally not recommended for this group of patients due to the risk of more serious damage to the penis.

• For people with a penis curvature of more than 30 degrees, drug therapy is administered by injection into the penis to dissolve the connective tissues. Clostridium hystolyticum injections can be used here. Interferon injections and oral verapamil treatment are also among other treatment options.

•Iontophoresis is another treatment applied by passing electric current through the skin.

•Smoking and alcohol should be avoided.

•It is important to have a balanced diet and exercise regularly. Some exercises performed during the treatment process can dissolve the connective tissues in the penis.

• In addition to traditional treatments, some research shows that vitamin and mineral supplements such as carnitine, coenzyme Q10 and vitamin E are good for penile curvature.

• In cases where all these methods are not sufficient, surgical treatment can be applied. In general, at least 1 year should be waited before seeking surgical treatment for Peyronie's disease, and most importantly, other treatments should be used. Surgery can be performed after one year in patients with severe penile curvature.

• Surgically, the area of the penis that has fibrotic tissue and is therefore shortened is lengthened, and the area that is long due to the tissue is shortened. Penile prostheses can be used when necessary. It should not be forgotten that there may be complications such as shortening of penis length and erectile dysfunction after surgery.

•Penile curvature treatment It is performed by surgical procedures. It is important to apply surgical treatment after the penis has sufficient length before adulthood. With surgical interventions, the location of the urinary hole is changed and the curvature is corrected. This surgery is performed in a short time of 30-60 minutes.

Treatment of Acute Peyronie's Disease

In the acute period, drug treatment is used because the plaque formation that causes penis curvature has not started yet. In addition to drugs that prevent plaque formation, methods such as shock therapy and injection of certain substances called collagen synthesis inhibitors have begun to be used in recent years. Penile curvature can be self-limiting or even reversible if diagnosed early and treated effectively during this period. Therefore, making a diagnosis in the acute period is extremely important. In addition to pain, especially if stiffness and irregularities are felt in the penis, a doctor's evaluation should be made. 

Treatment of Chronic Peyronie's Disease

After the chronic phase, when the pain phase ends and deformity begins, drug treatment is not very effective. However, attempts to inject substances into the lesion or administer shock therapy may be attempted during this time. However, corrective surgery is mainly used in the chronic phase. When deciding on surgical treatment, deformity and spontaneous erection are also evaluated. In addition to surgical treatment, penile prosthesis application, known as everyone's happy stick, is also required to correct the deformity in patients with erectile dysfunction.

penis curvature

Frequently Asked Questions About Penis Curvature (Peyronie)

1-How Many Hours Does Penis Curvature Surgery Take?

Congenital Peyronie's surgeries are usually resolved with simple surgical procedures. On average, this can be done very easily in as little as 30 to 60 minutes. The duration of surgical treatments for grafts varies depending on the individual's condition and the extent of the disease.

2- Which Patients Should Have Penile Curvature Surgery?

Surgical treatment is recommended for those with Peyronie's disease of more than 30 degrees that prevents sexual intercourse. In the treatment of Peyronie's disease, the disease negatively affects the psychological state, all complications are evaluated and a result-oriented decision is made.

3-What are the risks that cause penis curvature?

Penile curvature is generally more common in diabetic patients. However, it is more common in patients with collagen or connective tissue and in people who have had prostate surgery.

4-How is Surgical Treatment for Penile Curvature?

Easy plication techniques are used in the surgical treatment of Peyronie's patients. Plication stitches are placed in the opposite direction of the curvature and the image is corrected. In order to correct the curvature in different cases, graft materials taken from the leg veins of the plaque areas formed in the penis are used.

5- What to Pay Attention to After the Surgery?

It is very important that the curvature does not recur in patients who have undergone surgery. In adults, nocturnal erections can cause the stitches in the penis to open. It is recommended not to have sexual intercourse for about a week after the surgery.

6-What are the Stages of Peyronie's Disease?

The first stage of Peyronie's disease is defined as the acute stage, and the next stage is defined as the chronic stage.

7-What is Injection Treatment in Peyronie's Disease?

It is the direct application of some medications to dissolve the connective tissue in the plaque-forming areas of the penis. In recent years, injection therapy has achieved very good results, especially in patients of early age and in cases of penile curvature over 30 degrees. Injection therapy is a good option for patients who do not want surgery.
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