Curved Penis Determines Peyronie’s Disease

Curved Penis

There are many acceptable penile forms—most of which are considered normal—which include curvature of penile shaft inherent to the person’s genetic makeup. However, a certain condition known as Peyronie’s disease, of which the main attribute is the formation of scar tissues known as plaque in the tissues surrounding the corpora cavernosa, causes the penile shaft to bend in an unusual way, interfering with achieving and maintaining erection and making sexual activity difficult.

During erection, these tissues are said to shorten, which is the cause of the curvature of penile shaft. These fibrous plaques, which form in the thick sheath of tissues that surround the corpora cavernosa, grow thereby increasing the degree of the severity of the disease. 

Curvature of penile shaft, which is a good determinant of the presence of Peyronie’s disease, causes pain during inflammation and discomfort during penile penetration. Because of its unusual shape, during coitus, a sexual partner could complain about discomfort. 

This condition is said to affect 5% of the male population. Although it is predominant among men between 40 to 60 years old, there are reported cases of Peyronie’s disease in males as young as 18 years old and as old as 80.

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Types of Peyronie’s Disease Surgeries

There are basically two major choices the surgeon will make from, if he or she is left with no option but to get your penis straight by surgical means. They are suited for simple but severe degree curvature. They are; 

a) Penile Plication Procedure 

• At present this procedure is done under local anaesthesia.
• There is cutting and shortening of convex or side opposite to curvature with placement of permanent sutures on convex side. 
• Even at surgery you can see more straighter penile shaft of yours. 
• Nerves and vascular structure are spared so sensation to penis is retained which is important element in sexual intercourse. 
• Whole procedure may not take longer than 45 minutes. Length of penis not much effected. 
• Return to work in one day. Resume enjoyable sex in just 5 weeks.

b) Penile Plaque Grafting Done under local or general anaesthesia. 

• Incision on plaque with or without excision. 
• Placing graft, from your own vein, or cadaver pericardium, both have very good take and they don’t have contractures complications, plus they have tensile quality. 
• There is gain in length too. 
• Procedure is 3-4 hours long.
• Return to work in 3-4 days. 
• Satisfactory sex in 8 weeks. 
• Just have to wait a bit longer! 

c) Latest Innovative Surgery for Peyronie’s Disease 

• Its double dorsal-ventral patch graft combining plaque incision and grafting. 
• Its penile lengthening procedure. This is best part which resolves penile shortening. 
• It combines double dorsal-ventral patch graft with intestinal tissue meaning grafting done circumferentially along with prosthetic implant. 
• You will gain length in your penile shaft of about 3.2 cm, which will give you more confidence while indulging in sex. 
• Operation time is almost three hours. 
• So far it has shown very promising result. Best part is more enjoyable intimacy post operatively than with other procedures but still this procedure has to gain popularity. 

As for bottle neck and hour glass curvature, surgeries are very complicated and beyond scope of present discussion.

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When To Decide A Surgery Therapy For Peyronie's Disease

Don’t Hurry For Surgery! 

Curvature of penile shaft development may lead one to decide for a surgical procedure. But it’s too early to go for surgery, because surgery is the last option and there are plenty of options available to avail. Do you feel that you will not be able to have normal sex ever? There are two reasons to wait and see the change or reduction in the curvature. First is that the curvature of penile shaft has taken some time to develop curve shape. So wait to get it resolved or reduce with time. Secondly, going through standard protocol is more adequate to get sex life back as before, with reduction in pain during sex, and more straighter penis.

The Standard Treatment Protocols for Peyronie’s Disease 

When you have noticed that your sex life is getting miserably painful and relationship with your partner is somewhat stressed out. It’s the time when you should look for some medical advice. Your doctor will examine and check for the degree of curvature and your complaints. At that stage the advice you will receive may be one or combination of following treatments.

1) Peyronie’s Disease Waiting Period. For spontaneous resolution of plaque which may occur during the period lasting from six months to a year. So it’s the safe period and one should expect for good.

2) Peyronie’s Disease Medical Treatment. During waiting period certain agents may be prescribed. This again depends upon the severity of curvature and complaints. Included are Vitamin E, colchicine, potaba, (PABA), verapamil /collagenase injection intralesionally. The period of treatment again will be from 6 to 12 months.

When Surgery is advised for Peyronie’s Disease? 

When after the stipulated period of medical treatment, your doctor observes no improvement but worsening of your Peyronie’s disease, he may advise a surgical correction procedure as an option. The criteria he would be keeping in mind for your Peyronie’s disease surgery are as follow;

• If the curvature is greater than 60 degrees? 
• Latency period of six months to a year elapsed between disclosure of curvature and surgery. This is to let situation stabilize with some medication given prior. 
• Erectile dysfunction, inability to sustain erection of penis due to curvature and associated severe pain.
• Bottle neck deformity. 
• Hour glass deformity.

The Curvature of Penile Shaft-Peyronie’s Disease

What is wrong? 

The curvature of penile shaft is the descriptive term ,making it simpler to understand .But when you say you got Peyronie’s disease, it gets even more specific .The damage is to minute vessels of lining membrane of erectile tissue. Healing is so slow that, a hard fibrous plaque is the result. You may not notice curvature, until few months to a couple of years. This is one major factor in delayed start of treatment of Peyronie’s disease.

Timely Approach Your Doctor

The other factor which may cause delay in start of Peyronie disease treatment is, you may have reported the abnormal curvature of shaft to your doctor a bit late. You may have some misconceptions or apprehension about the newly detected disability/abnormality. It can be scary though when you notice it first time. But please don’t let any apprehension come between your genuine disability and possible treatment. While we are discussing how you get your sex life back to what it was, keep this in mind” you may not need any treatment at all” as sometimes the curvature heals up on its own.

All Will Be Just Normal As Before 

Long gone are times when it was not brought to notice of health care provider, and hence not treated. Now we have more men reporting about the Peyronie’s disease occurrence, thereby giving enough time for complete to almost normal shape of curved organ. Before we tell you the treatment available, make one thing clear in your mind. Neither the injury nor the curvature is your fault; it’s the faulty healing process. Following are Peyronie’s disease treatment options offered to you. The objective of chosen method of treatment is to bring back your sex life to normal, which is a cornerstone of an enjoyable and happy relationship.

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