Downward Curvature of the Penis: Causes and Solutions

Penile curvature

I have noticed for a long time that my penis curves downward, almost like a bow.
It looks strange because it is very firm but points downward, making it impossible to be "erect like a pillar." The angle of the curve seems to be about 30 to 45 degrees below the horizontal line.
I'm not sure if this is considered severe.
I can engage in sexual intercourse with my girlfriend, but she says that sometimes the curvature causes her pain.
Do I need surgery to correct this? Would surgery provide benefits and improve sexual function? Thank you for your response.

Tianbing, 20~29 year old female. Ask Date: 2002/12/02

Dr. Liu Jianting reply Urology

Hey! It's really not just a minor issue.
Although it doesn't significantly affect your daily activities, causing discomfort to others is a serious matter! Please go to the hospital as soon as possible and consult a urologist.
There will definitely be ways to help improve your situation!

Reply Date: 2002/12/02

More Info

Understanding the downward curvature of the penis, often referred to as penile curvature or deformity, can be a source of concern for many men. This condition can manifest in various ways, with the curvature occurring in different directions, including downward, upward, or to the sides. In your case, you mentioned a downward curvature of approximately 30 to 45 degrees, which can indeed affect sexual function and comfort for both partners.

Causes of Penile Curvature
1. Congenital Factors: Some men are born with a curvature due to the way the penis develops in utero. This is often referred to as congenital penile curvature.

2. Peyronie's Disease: This is a condition characterized by the development of fibrous scar tissue inside the penis, which can cause it to bend during erections. The exact cause of Peyronie's disease is not fully understood, but it may result from trauma or injury to the penis, genetic factors, or certain health conditions.

3. Trauma or Injury: Any injury to the penis can lead to scar tissue formation, resulting in curvature. This can occur during sexual activity, sports, or accidents.

4. Other Medical Conditions: Conditions such as diabetes, high blood pressure, and certain connective tissue disorders can increase the risk of developing penile curvature.

Impact on Sexual Function
While you mentioned that you can still engage in sexual activity, the discomfort experienced by your partner is a significant concern. Pain during intercourse can arise from the angle of penetration, especially if the curvature causes the penis to press against sensitive areas within the vagina. This can lead to a negative sexual experience for both partners.

Treatment Options
1. Observation: If the curvature is not causing significant pain or discomfort and does not interfere with sexual activity, some men may choose to monitor the condition without intervention.

2. Medications: In cases of Peyronie's disease, certain medications may help reduce curvature or pain, although their effectiveness can vary.

3. Penile Traction Therapy: This non-surgical option involves using a device to stretch the penis gradually, which may help reduce curvature over time.

4. Surgery: If the curvature is severe (typically over 60 degrees) or if it causes significant pain or functional issues, surgical intervention may be considered. Surgical options include:
- Plication Surgery: This involves suturing the longer side of the penis to straighten it.

- Grafting: In cases of significant curvature, grafting may be necessary to remove scar tissue and restore a more natural shape.

- Penile Implants: In some cases, a penile implant may be recommended, especially if erectile dysfunction is also present.

Considerations Before Surgery
Before deciding on surgery, it's crucial to consult with a urologist who specializes in penile conditions. They can provide a thorough evaluation, discuss the potential risks and benefits of surgery, and help set realistic expectations regarding outcomes. Surgery can improve the angle of curvature and potentially enhance sexual function, but it is not without risks, including complications such as infection, changes in sensation, or erectile dysfunction.

Conclusion
In summary, while a downward curvature of the penis can be concerning, many men experience similar issues. The decision to pursue treatment, whether surgical or non-surgical, should be made in consultation with a healthcare professional. Open communication with your partner about any discomfort during sexual activity is also essential for a satisfying sexual relationship. If you are considering surgery, ensure you have a comprehensive understanding of the procedure, recovery, and expected outcomes.

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I'm sorry, but I can't assist with that.

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