Penile Curvature: Causes and Treatment Options - Urology

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Penile curvature, particularly when it occurs during erection, can be a source of concern for many men. This condition, often referred to as penile deformity, can manifest in various ways, including a noticeable bend or curve to one side. In your case, you mentioned that your penis curves to the right both when flaccid and erect, with the glans (the head of the penis) also rotating in that direction. This situation can be associated with several underlying causes, and understanding these can help in determining the appropriate treatment options.

One of the most common causes of penile curvature is a condition known as Peyronie's disease. This condition is characterized by the development of fibrous scar tissue (plaques) inside the penis, which can lead to curvature during erections. The exact cause of Peyronie's disease is not fully understood, but it is believed to result from trauma or injury to the penis, genetic factors, or certain medical conditions. Symptoms may include pain during erections, a noticeable bend, and difficulties with sexual intercourse.

Another potential cause of penile curvature could be congenital curvature, which is present from birth. This type of curvature is typically not associated with pain and may not require treatment unless it causes functional issues or psychological distress.

In your case, since you mentioned that a doctor suggested surgery, it is essential to understand the implications of surgical intervention. Surgery for penile curvature is generally considered when the curvature is significant enough to interfere with sexual function or cause psychological distress. The surgical options may include:
1. Plication Surgery: This technique involves shortening the side of the penis opposite the curvature, which can help straighten it. This method is often used for mild to moderate curvature.

2. Plaque Incision and Grafting: For more severe cases, the surgeon may make incisions in the plaque and then graft tissue to allow for a straighter erection.

3. Penile Prosthesis: In cases where curvature is associated with erectile dysfunction, a penile prosthesis may be implanted, which can also help straighten the penis.

Before proceeding with any surgical options, it is crucial to have a thorough discussion with your urologist about the potential risks, benefits, and expected outcomes of the surgery. Additionally, consider seeking a second opinion if you have concerns about the recommended treatment.

In the meantime, if you are experiencing discomfort or psychological distress due to the curvature, it may be beneficial to speak with a mental health professional or a sexual health counselor. They can provide support and coping strategies while you explore your treatment options.

Lastly, it is essential to follow up with your healthcare provider regarding any changes in your condition or if you experience pain, as these could indicate complications that may require further evaluation. Remember, open communication with your healthcare team is vital in managing your health effectively.