Because of what happens the curvature of the penis and how to align it?

Curvature of the penis is one of the serious pathologies that cause significant physical and psychological discomfort. Not every man is ready to openly admit to such a problem, not to mention the search for qualified help. Meanwhile, modern medicine offers many ways to fix the shape of the penis. Conservative and operational techniques allow men to get rid of the problem and regain confidence in the shortest possible time.

Penis curvature - penile deformity visible only in erectile state

Causes of

The curvature of the penis can be congenital and acquired. Congenital deformation of the penis refers to the abnormalities of the development of the reproductive system and occurs in 3% of boys. The exact causes of this condition are not known. The appearance of a similar anomaly is influenced by the course of pregnancy, including the transmitted infections and the intake of medications in the early stages.

Congenital curvature of the of the penis is possible in two versions:

• With the normal location of the external opening of the urethra( asymmetry of the cavernous bodies of the penis).
• With abnormal urethral location.

In the latter case, the external opening of the urethra is usually found on the lower part of the penis, in the space between the scrotum and the bridle. The urethra is presented in the form of a dense chord, which in turn strengthens the deformation of the penis. With congenital anomalies, the curvature of the penis is noted mainly only during erection.

Reasons for of the acquired bending of the of the penis:

• Peyronie's disease;
• consequences of genital tract injuries;
• result of inflammation;
• insertion under the skin of the heads of foreign bodies;
• effects the injection of medications into the cavernous body of the penis.

Peyronie's disease

Peyronie's disease is one of the most common causes of penis curvature in men over 40 years of age. At a young age, the disease is rare. With this pathology, there are fibrous changes in the membrane of the cavernous bodies of the penis and its subsequent curvature. The exact cause of the disease is not known, which makes it practically impossible to prevent this pathology.

Peyronie's disease is characterized by the following symptoms:

• pain in the penis at rest and during erection;
• appearance of soft plaques( seals) on the skin of the penis;
• curvature of the penis.

Probable cause of this condition is considered to be microtrauma of the penis. Slowly progressive inflammation leads to the proliferation of connective tissue and the formation of fibrous plaques, which further contributes to the curvature of the penis. Spontaneous cure occurs in 10% of patients. In most cases, the disease develops, leading to erectile dysfunction and other problems in the genital area.

Consequences of the

Curvature of the penis - this is not just an aesthetic inconvenience. Deviation of the penis by more than 30 degrees makes sexual intercourse almost impossible. With a smaller angle of curvature, a man can have sex, but not always an intimate affinity will be comfortable for him. Discomfort during intercourse, discomfort when using a condom - all this violates the sexual life of the man and did not contribute to his health. Add here the fear of a possible reaction partner - and we get a very undesirable bouquet of psychological problems and complexes. In many men, the curvature of the penis causes erectile dysfunction at any age.

Does the curvature of the penis affect the possibility of conceiving a child? No, if the shape of the penis and the angle of its curvature do not prevent a man from having sex. In the absence of other health problems( including malformations of the penis), sperm pass freely along the urethra, and any problems in this area does not arise.

The curvature of the penis is often combined with other pathological conditions. Previous trauma or inflammatory process can lead not only to deformation of the penis, but also to the violation of ejaculation or sperm production. It is not superfluous to undergo a full examination with an andrologist to accurately answer this question and fully assess the possibility of conceiving a child.

Principles of treatment of

Minor curvature of the penis, which does not interfere with sexual life and does not affect the possibility of conception of the child, does not require correction. Treatment is carried out only if the problem is causing marked discomfort man causes erectile dysfunction and other psychological problems in the sexual sphere( eg, anxious expectation of sexual failure syndrome).Indication for the operation is also the impossibility of conceiving a child because of the pronounced curvature of the penis.

Conservative therapy

Conservative treatment is indicated at the initial stages of the disease with a moderate curvature of the penis. For this purpose, a special device is used - the extender .With prolonged stretching of the extender, the tissue grows gradually and the organ is straightened. In the course of therapy, the size of the penis naturally increases. The course of treatment is 6-12 months. With severe deformity, the technique is not used or is used only in conjunction with surgical correction.

Peyronie's disease, leading to a curvature of the penis, also lends itself to conservative therapy in the initial stages. For treatment, intravenous injections of drugs that soften fibrous plaques, physiotherapy, shock wave therapy are used. The effectiveness of these methods is very doubtful, therefore most urologists insist on surgical resolution of the problem.

Can I straighten my penis at home? There are many methods of massage, the purpose of which is to gradually correct the deformation of the penis. Urologists do not recommend to get involved in such methods, as well as to engage in herbal medicine, rub into the skin of the penis unknown ointments, creams and other medications. Such treatment rarely brings the desired effect. On the contrary, careless massage and other procedures can lead to a trauma of the penis and cause additional deformation of the organ.

Nesbit operation: in the penis administered saline for creating an artificial erection( 1), the affected areas with plaque removed( 2), the penis is rectified by a clamp and tissue excised or tensioned for fixing of its position( 3)

Surgery

There are severalsurgery options:

Option 1: Nesbit operation

tunica albuginea of ​​the penis on the side opposite curvature is shortened nonabsorbable sutures. As a result of this procedure, the penis decreases by 1-2 cm. The operation is shown at a corner of curvature less than 60 degrees and with sufficient initial length of the penis.

Option 2: dissection and plastic

During the operation, the surgeon crosses the belly of the penis on the side of the curvature. The resulting defect is replaced by the synthetic material or the patient's own tissues. Plaques and other altered parts of the body are excised. The operation is indicated for Peyronie's disease, cicatricial deformations of the penis, and also for the initially short penis.

Falloimplantat consists of two cylinders( 1), which are installed in penis cavernous bodies, the fluid reservoir in the pelvis( 2) and a pump which is placed in the scrotum( 3)

Case 3: falloprotezom

During surgery, the physician implantsHydraulic prostheses, after which with their help the necessary form is given to the penis. The technique is shown when the penis curvature is combined with erectile dysfunction.

Details: The operation to falloprotezirovanie

operations at a congenital curvature of the penis against the background of the anomalies of the urethra development is carried out in two stages. First, the plastic surgeon performs the urethra to create a properly positioned external opening, and only 2 months later performs an operation to straighten the penis. Timely surgical intervention not only improves the patient's quality of life, but also relieves sexual and psychological problems in the future.

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