Is a curved penis normal ? How much curve is too much?

Is a curved penis normal? How much curve is too much? Watch the video below to understand everything about penile curvature. Or read on!

Welcome! Namaste and welcome to doctor Shah clinic. My name is doctor Shah and I am a consultant Andrologist in Chennai and in this video we are going to discuss a very common clinical problem that I see in my routine day-to-day clinical practice.

So is a curved penis normal?

So a large number of patients have serious concerns about the curvature of their organ.

This is not surprising. That’s because in these patients, the primary doubt is that whether they will be able to achieve satisfactory sexual intercourse with their long-term partners.

An important point to bear in mind is that and accurate self assessment of penile curvature is usually quite difficult to do for most patients. So in this case visiting your friendly neighborhood Andrologist or sexologist maybe the best or wisest option.

Normal penile curvature for most patients ranges from 5 degree up to 30 degrees. In Almost 15 to 20% of patients who visit my clinical practice seeing some degree of penile curvature in the range of 5 to 30 degree is quite normal.

However if the penile curvature is greater than 50 degree 60 degree clinical condition called peyronie’s disease has to ruled out.

So how is peyronies disease diagnosed?

The diagnosis of peyronie’s disease is done by a clinical palpation method where the presence of hard fibrous plaques can be felt by the palpation while examining the organ as well as confirming the presence of the penile plaques by doing an ultrasound scan of the penis

So what are the symptoms of peyronie’s disease?

Patience with true peyronies disease the angle of penile deviation is in the range of 70 degree to 90 degrees.

The top 3 clinical symptoms of peyronie’s disease are number one pain during erection number 2 an organ that is tilting upward or completely upward number 3 erectile dysfunction.

So how common is peyronie’s disease?

Peyronie’s disease is seen about 0.5% to 20% of all men as per the scientific literature. however, in the age group of 35 to 45 years of age peyronies is more common and most patients commonly present to the clinic with complaints of pain on erection, complaints of organ tilting upwards completely as well as erectile dysfunction.

What causes peyronie’s disease?

So this is basically a connective tissue disorder and no one actually knows what is the exact pathogenesis of the particular condition.

How can peyronies disease be treated?

Today a large number of professional societies and bodies are recommending surgical correction of the condition. However some medical management options also do definitely exist.

The most popular techniques used for erection of penis disease include

1. Nesbits Technique &
2. The TAP procedure.

So what happens typically in a patient with peyronie’s disease is that the fibrous plaque pulls in the direction of the plaque during an erection.

Consequently, during a surgical correction, counter incisions are made in the connective tissue of the penis opposite to the plaque to correct the angle of pull.

However an important point to bear in mind is that, after the surgical correction about 15 to 20% of patients surgical complications like worsening of the penile curvature as well as penis shortening.

The surgical correction has a success rate of about 80 to 85%, but most professional societies like the American urological Association recommend surgery only after a specific period of time that is 6 months to 1 year post the diagnosis of peyronie’s disease.

The best success rates from surgical correction is usually seen in patients where plaque stabilization has occurred after waiting for a period of 6 months to 1 year post development of peyronie’s.

Moreover medical management of peyronie’s disease also can definitely be tried before resorting to surgical correction methodologies.

Some medical management strategies that have been tried for peyronie’s disease include usage of medications like verapamil, potassium aminobenzoate also called potaba (although it’s not clinically proven enough) and lastly clostridium histolyticum collagenase (which is probably the only US FDA approved treatment for peyronie’s disease).

The clostridium histolyticum collagenase is directly injected into the fibrous plaque under ultrasound guidance, and this results in reduction in plaque size, decreased pain during erection and improved erectile function for at least 75 to 78% of patients.

To conclude important to understand that true curved penis from peyronie’s disease is rather very rare.

Most patients worry about their curved penis primarily because they fear they may have peyronies. So is curved penis normal, it most probably is!.

Visit your andrologist or sexologist for an angle estimation lose your fear of curved penis for good. I hope you enjoyed reading this blog post on ‘is a curved penis normal’ do share with all your friends and loved ones. Watch the space for more interesting articles.

So, is a curved penis normal? You bet it is, most of the time!

References

  1. https://www.auajournals.org/doi/abs/10.1016/S0022-5347(17)39746-X
  2. https://www.sciencedirect.com/science/article/abs/pii/S1743609515301144

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