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BENT OR CURVED PENIS

Penis curvature, or a bent penis, is one of those unpleasant problems plaguing men, filling them with anxiety and driving away peace of mind.

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A visible curve in the penis is bound to make any man less eager to take down his pants in front of a lady. What if she starts laughing? What if she recoils from it? Nobody likes to be seen as a freak or as something to be laughed about. Although the man in question is in no way responsible for this problem, others can’t help but see this as a dubious physical feature.

1. A bent or curved penis can damage a sexual relationship by:

2. Causing discomfort to the female partner during intercourse

3. Creating pain and discomfort for the man during erection or ejaculation

4. Damaging the man's self-esteem and sexual self-confidence

5. Disrupting the couple’s physical and emotional bonding and relationship

Factors that commonly cause a bent penis

Unfortunately, the factors that cause a bend or curvature to develop in the penis are totally outside the control of the man to whom this condition occurs.

Men are sometimes troubled by the notion that the problem has somehow been created by masturbation. This leads to feelings of guilt and remorse, causing even more damage to sexual self-confidence and, consequently, sexual performance. It is essential to clearly understand that masturbation does not cause any physical deformity of the penis and is in no way harmful to health. Masturbation is normal and generally beneficial.  

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Penile curvatures are caused either by natural factors during the growth of the boy through adolescence to manhood or by a condition knows as Peyronie’s disease.

1. The natural curvature occurs when the two chambers of the penis (corpora cavernosa) develop at different rates through the years, thus bending the penis toward the slower developing chamber. The reasons for this uneven development are not known and this tendency cannot be forecast or prevented. However, there are treatments available for correcting the problem once it occurs.

2. Peyronie’s disease is a condition named after Francois de la Peyronie, surgeon to Louis XIV of France, who was the first man to describe a treatment in 1743. While the cause of this disease is not well understood, its mechanism is perfectly clear.

The “tunica albuginea” is the tough layer of connective tissue that contains the sponge-like Corpora Cavernosa. For reasons unknown, scar tissue begins to form in the “tunica albuginea”, which prevents the normal expansion of the penis during erections and, in time, bends the penis to one side or the other.

Although the disease is somewhat painful at first, the pain eventually goes away on its own. The only remaining effects of this disease are the curvature, which is visible when the penis is erect, and possibly a shortening of the penis in the flaccid state.

 

Symptoms

1. Could feel a hard lump or plaque under the skin

2. A lump may either occur suddenly after trauma, or take months to develop.

3. Pain is a common symptom that happens when the penis is erect.

4. Swelling can occur above the scar.

5. Penis may be narrowed or bent.

6. Multiple curves are possible.

7. Base of the penis could be rigid or hard.

8. Penis is not flexible.

9. Impotence or loss of sexual desire can occur.

10. Depression

  • 11. Marital problems   

Causes  

1. Trauma during sexual intercourse -- accidental bending or hitting the penis may cause internal bleeding and scar formation.

2. Surgery -- especially around the genitals (penis, prostate, testicles) and pelvic surgery (area of the body between the two hips)

3. Genetics (abnormality of genes) -- there may be an association with another disease known as Dupuytren's contraction (scarred and curved 4th finger) linked to a protein known as HLA-B27 antigen

Other causes for a bent or curved penis.

 

Restrictive Clothing - When boys get erections, their penises are restricted inside their tight underpants. They often bend their penises over to the left or right to hide the erection in their pants. This affects the development of their young penises. Blood can flow only through the 1 side of the spongy tissue and1 side of the penis develops better.

Injury - Acute or repetitive trauma (hitting or bending) causes localized bleeding inside the penis. This leads to fibrin deposition (scar tissue) in the tissue space that accumulates after additional trauma. Collagen is also trapped and pathologic fibrosis follows and even the formation of calcium deposits. In addition, with age there is a decrease in the elasticity of collagen fibers

Other Causes - Vasoactive substance injection therapy, vitamin E deficiency, the use of beta-blocking agents and autoi

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How to diagnosis is made

The patient's general doctor will consult with an urologist.

1. History

2. Symptoms

3. Trauma

4. Surgery

5. Illnesses

6. Medications and allergies

7. Habits, especially sexual

8. A medical exam reveals a curve or scar.

9. The size and shape of the penis is documented.

10. There may be contractions of 4th finger.

11. Test

12. Picture of the penis may be taken.

13. Urologist may inject a substance in the penis called

14. Prostaglandin E1, and then use a machine called a Doppler (uses sound) to see the internal structure of the penile cavities.

15. Calcium deposits can be seen in old scars.

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Risk Factor

1. Repeated trauma

2. Urological or pelvic surgery

3. Vigorous sex especially when female is on top and bending backwards

4. Dupuytren's contraction

CURVATURE OF THE PENIS

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Peyronie's disease is a severe curvature of the erect penis. It's named after an Italian physician to King Louis XIV of France. This physician was the first to note the disorder back in the 1700s. While it is somewhat common, it is not often mentioned.

A minor bend in the erect penis is perfectly normal, as few penises are straight as an arrow. In some cases of Peyronie's, however, the penis can form a "J" or a corkscrew, making intercourse impossible.

What causes a curved penis?

The cause of Peyronie's disease is unknown. Some physicians theorize the cause of the curvature may be from trauma to the penis, perhaps if the penis is bent backward during rough sex. The injury causes an inflammation in the tunica, and subsequently leads to scarring. 

There are other theories, and some reports suggest that men who take beta-blocking medications for high blood pressure develop Peyronie's.                                                              .

How is the penis constructed.

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The penis is composed of three cylindrical cavities. The two on top are called the corpus cavernosa, and the one on bottom the corpus spongiosum, which contains the urethra (the tube that urine flows through).

The two top corporal cavities expand to trap and hold the blood that produces an erection in the male. The bottom body, corpus spongiosum, functions mainly for the passage of urine. Each of these corporal bodies is surrounded by a very elastic covering called the tunica albuginea.

On top of the two corporal cavernosa are the superficial nerves and blood vessels of the penis.

Why does the penis curve?

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In Peyronie's disease, the normal elastic tissue of the tunica is replaced by scar tissue. Normally with erection the elastic tissue of the penis expands and elongates symmetrically resulting in a straight erection. Because the plaque, or scar tissue, is not elastic, but rather hard, it will not stretch with erection.

The disease starts as a small bump or constriction on the shaft of the penis below the skin, which expands to form a flat deposit that's sometimes as large as the diameter of a silver dollar. This "plaque" invades and replaces the elastic covering of the penis with inflexible material. When a man with Peyronie's has an erection, the plaque does not expand, so the penis curves to one side.

How does a curved penis affect sexual intercourse?

 

A third of men with Peyronie's have pain with their erections. A few men with Peyronie's become impotent. In some cases, the head of the penis does not fill with blood.

Because inflammation is initially associated with the scar tissue, there can be some discomfort with erection and distension. Many patients complain not only about the curvature of the erection but the loss of length and girth. These are all results of the inelastic tissue and lack of distention that results.

Most patients with Peyronie's disease can continue to function sexually with the curvature in the penis. Rarely, some patients with greater distortion are unable to have satisfactory sexual intercourse.

Does a curved penis cause impotence?

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Recent studies indicate that some men with Peyronie's disease lose the ability to trap the blood in the penis. It can, however, be difficult to distinguish the man who has a leakage problem from one who is quite anxious about his penis and loses his erection secondary to anxiety and stress.

Most of the time the plaque is on the top surface of the penis causing an upward bend. However, plaques can occur at any point on the penis. In some patients the penis beyond the plaque will not become as rigid.

How common is a curved penis?

Peyronie's disease is an extremely common ailment. At the Male Health Center, physicians see about five patients a week with this problem.

Most patients are middle-aged, though the youngest patients we have seen are in their twenties, and there are a number of still sexually active men in their eighties with the disease.

Some men first notice the sudden onset of a curved erection even though the previous erection was straight. In other men, the curvature may be slight at first, but then it keeps getting worse. Eventually, the curve stops, and gets no worse. In most cases, the active process of Peyronie's disease lasts less than a year. At the time the process stops, the scar tissue may remain or in some cases disappear.

How can you straighten a curved penis?  

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Treatment

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