Erection Angles: Is It a Suspensory Ligament Issue? - Urology

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Erectile issues


I would like to ask the doctor, when I have an erection, the hardness is fine and there is no curvature of the penis downward, but the angle of the penis with the body does not reach 90 degrees and is leaning towards the 8:30 position.
Could this be an issue with the suspensory ligament of the penis? If I want to correct this, what should I do?

Niming, 10~19 year old female. Ask Date: 2018/04/07

Dr. Chen Jiansheng reply Urology


It is generally recommended to seek correction if the curvature exceeds 30 degrees during an erection.
Take one photo from above to assess the left-right deviation and another from the side to evaluate the up-down deviation, and bring these images to the consultation with your physician for discussion.

Reply Date: 2018/04/07

More Info


Understanding the mechanics of penile erection and the angles involved can be quite complex, and it’s important to differentiate between normal anatomical variations and potential medical issues. In your case, you mentioned that during erection, the penis does not reach a 90-degree angle with the body, instead leaning towards the 8:30 position. This raises the question of whether this could be related to the suspensory ligament of the penis.

The suspensory ligament is a fibrous structure that attaches the penis to the pubic symphysis and plays a crucial role in maintaining the position of the penis during erection. It helps support the weight of the penis and can influence the angle at which the penis extends from the body. However, it is essential to note that variations in erection angles can be quite normal and may not necessarily indicate a problem with the suspensory ligament.

In your situation, since you report that the hardness of the erection is normal and there is no downward curvature, it suggests that the erectile function is intact. The angle of erection can be influenced by several factors, including the length of the suspensory ligament, the elasticity of the penile tissue, and even individual anatomical differences.
If you are concerned about the angle of your erection and are considering corrective measures, it is crucial to consult with a urologist. They can perform a thorough examination and may recommend imaging studies to assess the anatomy of the penis and the suspensory ligament. If a surgical intervention is deemed necessary, procedures such as suspensory ligament release or penile lengthening surgeries may be options, but these come with risks and should be considered carefully.

It is also worth noting that many men experience variations in erection angles, and unless it is causing functional issues or psychological distress, it may not require treatment. Engaging in open discussions with a healthcare provider can help clarify any concerns and guide you toward the best course of action based on your individual circumstances.

In summary, while the angle of erection can be influenced by the suspensory ligament, variations are common and not always indicative of a problem. Consulting with a urologist will provide you with the most accurate assessment and potential treatment options if necessary.

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