Size and shape of penis varies with individuals. Having penis slightly curved or bend to different directions during erection is quite common and may not have any negative impact on one’s sexual performance. However, having significant bend, curved or sometimes pain in the penis can cause major stress and anxiety. This may lead to difficulties in having sex or unable to get and maintain an erection. This condition is medically called as Peyronie’s disease.
Peyronie’s disease is a condition in which a band of hard scar tissue develops along the shaft of the penis in the corpora cavernosa. These fibrous plaques cause an abnormal bend or curve to the penis during erection making sex difficult and painful. The penis might be curved upward, downward or bent to one side
What Causes Peyronie’s Disease?
The exact cause for Peyronie’s disease is still unclear, but there are several factors involved. Experts believe that the disease generally results from repeated minor injury to the penis that causes localized bleeding inside the penis. The injury however may not be noticed by individuals. The injury heals with hard scar tissue left behind the corpus cavernosum.
Shaft of the penis tissue is made up off sponge-like tissue that contains many chambers filled with tiny blood vessels. When you become sexually arouse, blood flows to these chambers causing penis to stretch, expand and erect. However, the area with the scar tissue doesn’t stretch or expand leading to bent or curvature in the penis. Although some partner may find it loving and fun, it may be very painful for few.
What are possible risk factors?
Although minor trauma to the penis doesn’t result in Peyronie’s disease there are several factors that can contribute to poor wound healing and scar tissue formation that might cause the bent penis. These include:
Person with other connective tissue disorder
Heredity, acquired from parents
Treatment of bent penis (Peyronie’s disease)
For few individuals peyronie’s disease may not bother or goes away on its own. But in most severe cases it will remain stable or worsen affecting ones sexual life. There are several non-surgical treatments available that can be tried before going for surgery. These include:
Stretching the penis
Oral medications like para-aminobenzoate, pentoxifylline, colchicine etc.
Topical medication like verapamil
Injectable medications like clostridial collagenase
Another treatment option is extracorporeal shock wave therapy that helps break down the hard fibrous tissue. Carbon dioxide laser is also being used with some success for the management of fibrous plaque.
Surgical treatment is the only effective treatment for severe cases of Peyronie’s disease. Several surgical approaches are being tried that includes:
The Nesbitt tuck procedure
Cutting out the plaque