Penile Rotation: When to Seek Medical Advice - Urology

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Penile issues (torsion)


Hello, doctor.
I have a question.
When I have an erection, it is straight and I don't feel any pain, but the shaft of my penis rotates counterclockwise a bit.
When viewed from above, the urethral opening also tilts about 30 degrees.
I noticed that other people's penises are generally vertical to the ground __|__, while mine is __\__.
Should I see a doctor?

Lin, 30~39 year old female. Ask Date: 2024/07/08

Dr. Du Shixi reply Urology


Hello: No need, wishing you good health.

Reply Date: 2024/07/08

More Info


When it comes to penile rotation during an erection, it is important to understand the anatomy and potential implications of such a condition. The penis is composed of three main parts: the corpora cavernosa (two cylindrical structures) and the corpus spongiosum (which surrounds the urethra). The alignment of these structures can vary from person to person, and some degree of rotation or curvature is not uncommon.
In your case, you mentioned that your penis rotates counterclockwise during an erection, with the urethral opening tilting approximately 30 degrees. If this rotation occurs without pain and does not interfere with sexual function or cause discomfort, it may not be a cause for immediate concern. However, there are several factors to consider when deciding whether to seek medical advice.

1. Normal Variation: Many men experience some degree of curvature or rotation of the penis, which can be a normal anatomical variation. If the curvature is not severe and does not cause pain or functional issues, it may not require treatment.

2. Peyronie's Disease: If the curvature is accompanied by pain, changes in erectile function, or if it has developed suddenly, it could be a sign of Peyronie's disease. This condition is characterized by the formation of fibrous scar tissue inside the penis, which can lead to curvature, pain, and difficulties with erections. If you notice any of these symptoms, it is advisable to consult a healthcare professional.

3. Impact on Sexual Function: If the rotation affects your ability to engage in sexual activities comfortably or leads to difficulties with penetration, it is worth discussing with a doctor. They can assess whether any underlying conditions need to be addressed.

4. Psychological Impact: Sometimes, even minor anatomical variations can lead to psychological distress or anxiety about sexual performance. If you find that this rotation is affecting your confidence or mental well-being, speaking to a healthcare provider can be beneficial.

5. Monitoring Changes: If you notice any changes in the degree of rotation, the development of pain, or any other new symptoms, it is important to seek medical advice promptly. Changes in the condition of the penis can sometimes indicate underlying issues that may require treatment.

In summary, if your penile rotation is not causing pain or functional problems, it may not be necessary to seek immediate medical attention. However, if you have concerns about Peyronie's disease, experience pain, or if the condition affects your sexual function or mental health, it is advisable to consult a healthcare professional. They can provide a thorough evaluation and discuss potential treatment options if necessary. Remember, open communication with your doctor about any concerns regarding your sexual health is crucial for maintaining overall well-being.

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