Penile Torsion: Causes, Symptoms, and Treatment Options - Urology

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Penile torsion is a condition where the penis is twisted along its shaft, resulting in the glans (the head of the penis) being oriented at an angle away from the midline of the body. This condition can occur in various degrees of severity, and in your case, you mentioned that your glans is rotated approximately 30 degrees to the left.

Causes of Penile Torsion
Penile torsion can be congenital, meaning it is present at birth, or it can develop later due to various factors. Congenital penile torsion is often associated with other anatomical abnormalities, such as hypospadias, where the urethra opens on the underside of the penis instead of at the tip. In some cases, penile torsion may also result from trauma or injury to the penis, which can cause the tissues to heal in a twisted position.


Symptoms
The primary symptom of penile torsion is the visible twisting of the penis, which can be more pronounced during an erection. In many cases, individuals may not experience pain or discomfort, especially if the torsion is mild. However, in more severe cases, torsion can lead to complications such as pain during erections, difficulty with sexual intercourse, or issues with urination.


Treatment Options
The need for treatment depends on the severity of the torsion and whether it causes any functional problems or discomfort. In cases where the torsion is mild and does not cause pain or functional issues, many healthcare providers may recommend a watchful waiting approach. This means monitoring the condition without immediate intervention.

However, if the torsion is more pronounced or if it leads to pain, discomfort, or functional impairment, surgical intervention may be necessary. The surgical procedure typically involves untwisting the penis and securing it in a more anatomically correct position. This can help prevent any potential complications and improve the overall function and appearance of the penis.


When to Seek Medical Attention
If you notice any changes in your symptoms, such as the development of pain during erections, difficulty urinating, or any other concerning symptoms, it is essential to consult a healthcare provider. A urologist is the specialist best suited to evaluate your condition and recommend appropriate treatment options based on your specific situation.


Conclusion
In summary, penile torsion is a condition that can vary in severity and may or may not require surgical intervention. Since you mentioned that you do not experience pain during erections, it may not be an urgent issue. However, it is always best to consult with a urologist for a thorough evaluation and to discuss your concerns. They can provide you with personalized advice and determine whether any treatment is necessary based on your unique circumstances. Remember, early intervention can often lead to better outcomes, so don't hesitate to seek professional guidance.