Congenital penile curvature treatment

Congenital penile curvature treatment

Penile Traction Therapy

What is Penile Traction Therapy?

Penile traction therapy is a type of physical therapy that can be used to treat a curved or shrunken penis that happens due to Peyronie’s disease, which causes a curved or shortened erection. This can make it painful or difficult to have sexual intercourse.

In recent years, penile traction therapy has been shown to help people with Peyronie's disease return to a more typical penis shape. The therapy involves using a penis traction device, similar to a brace, that holds the penis straight or at an angle for a set amount of time.

It’s important to remember that having some curvature to the penis is entirely normal. If your penis has always been curved or is of a normal length, there is no need for a penile traction device. However, for people with Peyronie's disease or a shorter-than-average penis, penis traction can restore lost length and sudden curving.

Read more about : Chordee

Read more about : Penile Torsion 

What is Peyronie’s Disease?

Peyronie’s disease causes scar tissue—also known as plaques—to form beneath the skin of the penis. These areas of scar tissue are rigid and inflexible, so they’re not able to expand the same way that normal erectile tissue does. Because of this, the penis curves (sometimes toward the area of the plaques) when it becomes erect. If the plaques occur on both sides of the penis, a person might experience shorter erections than they had before they had Peyronie's disease. 

The causes of Peyronie’s disease aren’t well understood. In most cases, there is no known trauma to the penis that would cause scar tissue to form. Rather, the scar tissue is thought to be caused by small, unnoticeable injuries to the penis (microtrauma).

People who have other health conditions may be at an increased risk for Peyronie's disease, including those with:

. Diabetes

. High blood pressure

. High cholesterol

. People who are older than 40 years old also have an increased risk for Peyronie's disease.

How common is Peyronie's Disease?

Research has shown that between 3% - 8% of people with penises have Peyronie's disease, but the rate could actually be much higher since people are wary of seeking medical attention for the disease.

Peyronie's disease can make it difficult to enjoy sex. It can cause pain during erections, or the inability to have penetrative sex. That, in turn, can lead to mental and emotional complications like:

. Stress

. Depression

. Anxiety

How Penis Traction Works

Penis traction therapy uses a penis traction device to hold the flaccid penis straight or at a specified angle. This is also sometimes known as penis stretching.

People who are undergoing penile traction therapy should follow a specific plan provided by their doctor. Generally, the therapy involves wearing a penile traction device for at least 30 minutes a day, up to six hours a day.

Read more about : Penile implant

Penis Traction Devices

To try penile traction therapy, you’ll need a traction device. There are many brands of traction devices available, so it’s best to talk with your healthcare provider about which one they recommend for you.

In general, traction devices work in the same way. A pelvic ring is placed at the base of the penis, with the shaft inserted through the ring. The tip of the penis is clamped firmly into the other end of the traction device. Extension rods between those two pieces allow the wearer to gently stretch their penis.

Devices designed to treat people with Peyronie's disease also include the option to rotate the penis.

If you are using penile traction therapy to treat curvature caused by Peyronie's disease, you should rotate your penis in the opposite direction of how it normally curves during an erection. Be sure to talk with your doctor about specifics. 

. Penis Traction Therapy Timeline

In order to see results from penis traction therapy, you need to use the device consistently. That means wearing the traction device for at least 30 minutes a day, or the amount that your doctor and the device manufacturer recommend.

Most studies that have been done on penile traction therapy involve a large time commitment of multiple hours a day for up to six months.

Does Penile Traction Therapy Work?

Penile traction therapy has been shown to help increase penis length and decrease the curve of the penis. Here are the results that researchers have found:

. In a study of 55 men with Peyronie’s disease, men wore a traction device for an average of 4.6 hours a day for 6 months. They reduced their curvature by an average of 20 degrees. They also reduced their pain and increased their flaccid penis length.

. In a study of 41 men with Peyronie’s disease, participants wore a traction device daily for a 12-week period. The men who wore the device for more than 6 hours a day saw their curvature decrease by an average of 38 degrees. The men who wore the device for less than 4 hours a day saw their curvature decrease by an average of 20 degrees.

In all these studies, people needed to commit to wearing the traction device for long periods each day in order to see results.





10 common questions about Congenital penile curvature treatment

1Can penile curvature be corrected?
How is penile curvature treated? In mild forms it does not require any treatment. However, when the degree of curvature interferes significantly with the ability to have sexual intercourse, surgical correction is used to restore normal function and form to the penis
2What is congenital penile curvature?
Congenital penile curvature, or chordee, is defined as a congenital process which can be associated with hypospadias and is manifest by a curvature of the erect penis
3What causes congenital penile curvature?
The cause of congenital penile curvature is not known, but thought to be related to unequal growth of the erectile chambers on two opposite sites
4How do I fix my Chordee?
Your doctor can treat chordee by straightening your child's penis and making sure that the urethral opening is at the tip of the penis. To do this, your surgeon will: Use anesthesia to make sure your child stays asleep during the surgery. Take away any extra tissue that's causing the penis to bend.
5Does Peyronie's disease ever go away?
There is no cure for Peyronie's disease, but it is treatable and may go away on its own. Though it may be tempting to request medicine right away, many doctors prefer the “watchful waiting” approach if your symptoms aren't severe
6How is a Chordee repair done?
Chordee repair is a surgery to straighten the penis. ... Chordee causes the penis to be curved, which is most obvious during an erection. A chordee repair is done by a specialized doctor called a pediatric urologist. The surgery is typically done after 6 months of age
7Can Chordee be fixed?
Chordee Treatment Surgery is the only effective treatment for chordee. The ideal time for chordee repair is before age 2. If chordee is detected prior to this time, surgery can usually repair chordee (and hypospadias, if present). The surgery will make possible the normal growth and development of the penis
8What age does hypospadias repair?
The pediatric urologist often wants to straighten the penis before making the urinary channel. Surgeons prefer to do hypospadias surgery in full-term and otherwise healthy boys between the ages of 6 and 12 months. But hypospadias can be fixed in children of any age and even in adults.
9Can Chordee cause infertility?
Curvatures of the penis (called chordee) may also be present in this condition, making sexual intercourse difficult. Males with hypospadia are also more likely to be born with an undescended testicle, which is considered another cause of male infertility.
10Is Chordee hereditary?
Hypospadias and Chordee. Hypospadias is a birth defect that affects boys. ... Although hypospadias is not considered an inherited disorder, it does seem to occur more often than normal in some families. Chordeeis a bending of the penis.

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