Penile Curvature and Testicular Discomfort: A Student's Inquiry - Urology

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Understanding penile curvature and testicular discomfort can be concerning, especially for a young individual. Based on your description, it seems you are experiencing two primary issues: significant curvature of the penis during erection and discomfort in the testicles, particularly on the right side.

Firstly, penile curvature can occur for various reasons. One common condition is Peyronie's disease, which involves the development of fibrous scar tissue inside the penis, leading to curvature during erection. This condition can be congenital (present at birth) or acquired due to trauma or injury to the penis. Since you mentioned that you had a circumcision as a child, it is unlikely that this directly caused the curvature, but it is essential to consider any other potential injuries or factors that may have contributed.

The degree of curvature you describe as "severe" is significant. If the curvature is causing pain or discomfort during erections or sexual activity, it is advisable to consult a healthcare professional. They may perform a physical examination and possibly imaging studies to assess the structure of the penis and determine the underlying cause of the curvature. Treatment options vary depending on the severity of the curvature and its impact on your quality of life, ranging from medication to surgical interventions in more severe cases.

Regarding the discomfort in your right testicle, there are several potential causes. Testicular discomfort can arise from conditions such as epididymitis (inflammation of the epididymis), testicular torsion (a medical emergency where the spermatic cord twists and cuts off blood supply), or even hernias. The fact that you feel discomfort when sitting for long periods or in certain positions may suggest that there is some physical pressure or strain on the testicles, which could be exacerbated by the curvature of the penis or the way you are sitting.

It is also worth noting that asymmetry in the size of the testicles is common and not necessarily a cause for concern. However, if you notice a significant difference in size or if the discomfort persists or worsens, it is crucial to seek medical attention. A healthcare provider can perform a thorough examination, including a scrotal ultrasound if needed, to rule out any serious conditions.

In summary, both the penile curvature and testicular discomfort warrant further evaluation by a healthcare professional. It is essential to address these concerns, as they can affect your physical and emotional well-being. Do not hesitate to reach out to a urologist or your primary care physician, who can provide you with the appropriate guidance and treatment options. Remember, early intervention can often lead to better outcomes, so seeking help sooner rather than later is advisable.