Curved Penises: Surgical Options and Concerns - Urology

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Not straight?


Hello, doctor.
My penis is not straight; it is curved and leans to the left.
Although it does not cause pain or any issues during intercourse, I feel it is unsightly.
Can I undergo surgery to resolve this issue? Which specialty should I consult? Additionally, will the surgery affect the length and sexual function? Please provide a detailed explanation.
Thank you for your response!

andy lu, 20~29 year old female. Ask Date: 2000/11/15

Dr. Liu Jianting reply Urology


As long as its curvature and leftward tilt do not affect sexual intercourse, that's sufficient.
Unless you frequently perform in public places while nude and the audience finds it "indecent," then you might want to reconsider!

Reply Date: 2000/11/15

More Info


Curved penises, medically referred to as penile curvature, can be a source of concern for many individuals, particularly when it comes to aesthetics and sexual function. If you are considering surgery to correct this curvature, it is essential to understand the options available, the potential risks, and the expected outcomes.


Surgical Options
There are various surgical techniques to address penile curvature, with the most common being the plication technique and grafting techniques. The plication technique involves suturing the tunica albuginea (the fibrous sheath surrounding the erectile tissue) on the side opposite the curvature to straighten the penis. This method is less invasive and typically preserves penile length and function.
On the other hand, grafting techniques involve removing a section of the tunica albuginea or adding graft material to correct the curvature. While these methods can be effective, they may carry a higher risk of complications, such as changes in penile length or erectile function.


Consultation and Specialist
To pursue surgical options, you should consult a urologist, a specialist in the urinary tract and male reproductive system. During your consultation, the urologist will assess the degree of curvature, discuss your concerns, and recommend the most appropriate surgical approach based on your specific situation.


Impact on Length and Sexual Function
One of the most common concerns regarding penile curvature surgery is its potential impact on penile length and sexual function. Generally, if performed correctly, the plication technique should not significantly affect the length of the penis. However, some patients may experience a slight shortening, particularly if the curvature is severe or if grafting techniques are used.

In terms of sexual function, most patients can expect to maintain their erectile function post-surgery. However, there is always a risk of complications, such as scarring or changes in sensation, which can affect sexual performance. It is crucial to have an open discussion with your urologist about these risks and to set realistic expectations regarding the outcomes of the surgery.


Postoperative Care and Recovery
After surgery, you may experience some discomfort, swelling, or bruising, which is normal. Your urologist will provide specific postoperative care instructions, including recommendations for pain management and activity restrictions. It is essential to follow these guidelines to ensure a smooth recovery.


Conclusion
In summary, if you are considering surgery for a curved penis, it is advisable to consult a urologist who can provide a thorough evaluation and discuss the best surgical options for your situation. While surgery can effectively correct curvature and improve aesthetics, it is essential to understand the potential risks and impacts on penile length and sexual function. With proper care and realistic expectations, many individuals find satisfaction with the results of their surgery. Always prioritize open communication with your healthcare provider to address any concerns and ensure the best possible outcome.

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