Congenital Penile Curvature, Penile Curvature and Peyronie's Disease
Curvature problems in the penis can manifest itself with difficulties in intercourse as well as cosmetic problems. Curvature may be present at birth or may occur later. The plaques in the penis are usually responsible for the curvatures that occur later, and hard sexual intercourse and trauma are blamed in the etiology. For this reason, it would be more accurate to divide the curvatures into two as congenital penile curvature and Peyronie's disease.
Congenital Penile Curvature
It is usually noticed when sexuality enters puberty. It is an anomaly characterized by congenital curvature of the penis. It can cause serious psychological problems due to the cosmetic problem it creates. In addition, in advanced types, problems such as pain during sexual intercourse or inability to have intercourse are seen.
Diagnosis
Although the diagnosis is usually made by the patient after erection, the examination performed during erection is very important in the diagnosis. Since erection may not always be possible during the examination, photos taken from the right and left sides during erection are very important.
Treatment
Surgical intervention is usually required for the treatment of such patients. The type of surgical intervention is determined according to the type of curvature. Curvatures up to 30 degrees are usually followed without intervention, as they do not cause functional problems. In curvatures between 30-60 degrees, if the penis is sufficient, plication technique is applied with non-melting sutures placed in the penis. For curvatures greater than 60 degrees, veins taken from the leg saphenous vein or bovine pericardium grafts are used. Since this technique will not shorten the length of the penis, it should be preferred especially for short penises.
Peyronie's Disease
Peyronie's disease is associated with acquired penile curvature. It occurs as a result of plaque formation in the cavernous structures of the penis that provide erection. Usually, the plaque area is felt as hard. At first, a painful period of inflammation is observed. This period is a suitable period for the application of local treatments. In this period, since the plaque has not hardened yet, it can be completely destroyed by the treatments to be applied. For this reason, it is extremely important to get help from us in the painful period in terms of planning your treatment. The resulting plaque may cause curvature in the next period. Generally, patients apply after the curvature is completely settled. If a surgery is to be performed for curvature, it should be waited for the bending to complete. Early surgery may result in recurrence of the curvature.
Diagnosis
Physical examination remains the gold standard for diagnosis. Usually, the resulting plan can be determined by a physical examination by an experienced physician. In addition, penile ultrasound and MR imaging can also be used. Photographs and penile injections are used to evaluate the curvature.
Treatment
Treatment varies according to the stage of the disease and whether it causes curvature or not. Different treatments such as medical, shock wave therapy and surgery can be applied.
- Medical Treatment: This treatment, which is more effective if diagnosed in the early period, is carried out with oral drugs and injections into the penis. Since the aim is to treat the curvature before it occurs, early application is extremely important.
- Penile shock wave therapy: Penile shock wave therapy, which is used in erection problems, is also very effective on plaques. It is used to stop the progress of the plaque and in some cases to disperse it completely. It has a success rate of around 50% in the distribution of plaques.
- Surgery: The aim of Peyronie's surgery is usually the correction of the curvature. Removal of plaque is not recommended as it has no potential benefit and increases the complication rate. In case of curvature that prevents sexual intercourse, an addition is made to the problematic area by using a vein or bovine pericardium taken from the leg. In this way, the length of the penis is preserved while the curvature is corrected.
We have been providing services for penile curvature and Peyronie's disease in our clinic for a long time. Contact us for detailed information and price.
Penile Curvature Surgery Istanbul