Penile Curvature Repair

Penile Curvature Repair

Penile Curvature Repair

Most men with curvature of the penis do not need any treatment. This is true regardless of the cause.

Men with Peyronie's disease who experience pain or difficulty with intercourse may be offered treatment with verapamil or collagenase penile injections. Potential oral drugs that may help include pentoxifylline.

Corrective surgery may be offered to men with more bothersome or disfiguring symptoms that persist for more than one year. It's important to make sure that the disease is not active at the time of surgery. So, surgery should be delayed for at least three months after the condition is clearly stable.

In a typical procedure, the inflamed or scarred portion of tissue is removed from the penis. It is replaced with a graft taken from another part of the body (often the scrotum or forearm).

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This surgery often works well. However, mild curvature of the penis may remain. In addition, sexual function or shortening of the penis may not improve following surgery.

For this reason, surgeons sometimes implant a penile prosthesis during surgery. In some men, a prosthesis alone is enough to straighten the curvature and improve sexual function. Men who are considering surgery should be sure to discuss all the options with their physicians.

Some clinics have extensive experience with reconstructive procedures congenital erectile curvature. Correction of congenital erectile curvature is accomplished by surgically exposing the penis, in order to shorten the side of the penis opposite the curvature to match the other side. This results in a straightened erection. This procedure has a high rate of success and can be performed in an outpatient setting.

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10 common question about Penile Curvature Repair

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 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.
3What 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.
4How is Peyronie's curvature measured?
The gold standard means of curvature measurement is by intracavernosal injection (ICI) with degree of angulation determined while erect. Alternatively, curvature may be assessed by at- home photography (AHP) during the erect state, or by use of a vacuum erection device (VED) to induce an erection.
5What age does a man stop getting hard?
Most older men suffer not ED but erection dissatisfaction. Starting around age 50 (often earlier among smokers and, or, diabetics), erections change. In some men, the process is gradual, in others, it happens more quickly. Either way, older men lose the ability to raise erections solely from sexual fantasies.
6Does Viagra Help Peyronie's disease?
While erectile dysfunction drugs like sildenafil, tadalafil and vardenafil can't treat Peyronie's disease itself, they can often be used to treat ED that stems from Peyronie's disease. These drugs improve blood flow to the soft tissue of the penis, making it easier to develop and maintain an erection.
7What happens if Peyronie's disease is left untreated?
If left untreated, Peyronie's disease may cause fibrotic, nonexpansile thickening of relatively discrete areas of the corpora tunica, typically resulting in focal bend, pain or other functional or structural abnormalities of the erect penis. Many cases resolve without treatment.
8Does 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.
9Does penile torsion correct itself?
Surgeons do not usually correct penile torsion alone unless it approaches 90 degrees. Usually, doctors repair penile torsion at the same time as performing circumcision. Sometimes penile torsion occurs along with hypospadias, and it may be improved, at least to some extent, during hypospadias repair.
10Does penile torsion need to be corrected?
Penile torsion usually does not require treatment, especially if the rotation is less than 90 degrees. However, due to cosmetic reasons many parents of boys with mild torsion may want treatment. Penile torsion is treated by surgery, done under general anesthesia.

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