Do I Need Surgery for a Curved Penis During Erection? - Urology

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Does the curvature of the penis require surgery?


I am concerned because my penis bends downward when erect, and I worry it may affect my sexual performance in the future.
I have had sexual experiences before, and during positions like woman-on-top, if the angle is not right, it causes some pain in my penis.
I have taken photos of my erection, which is about 80% erect, and there is already a noticeable curve (the photo was taken while sitting).
Do I need surgery for this, or is it within the normal range? Thank you.
(Password: doctor)

Mr. Hsieh, 10~19 year old female. Ask Date: 2007/01/25

Dr. Lin Hexing reply Urology


Hello Mr.
Hsieh: Since I couldn't find your photo online, I am unable to determine the angle at which your penis bends downward during erection.
Generally, a surgical intervention is considered when the curvature exceeds 30 degrees and interferes with sexual intercourse.
Based on your description, if you have no issues with erections but experience some pain in certain positions, such as when your partner is on top, it would be advisable for you and your partner to adjust your sexual positions, and surgery may not be necessary at this point.
Regarding whether this will affect your sexual function in the future, since you have a congenital penile curvature rather than Peyronie's disease, it is unlikely to progress further and should have minimal impact on your sexual function.

Reply Date: 2007/01/25

More Info


When it comes to the question of whether surgery is necessary for a curved penis during erection, it is essential to consider several factors, including the degree of curvature, the presence of pain, and the impact on sexual function.
A curvature of the penis during erection is not uncommon and can occur for various reasons, including congenital conditions, Peyronie's disease, or simply anatomical variations. In your case, you mentioned that your penis bends downward during erection, and you experience discomfort during certain sexual positions, particularly when the angle is not optimal. This discomfort can be a significant factor in determining whether surgical intervention is warranted.

Typically, a curvature of less than 30 degrees is often considered within the normal range and may not require any treatment. However, when the curvature exceeds 30 degrees, especially if it causes pain or interferes with sexual activity, surgical options may be considered. The goal of surgery in such cases is to alleviate pain, correct the curvature, and restore sexual function.

There are two primary surgical techniques for correcting penile curvature: plication and grafting. Plication involves shortening the longer side of the penis to straighten it, while grafting involves using tissue grafts to correct the curvature. Each method has its advantages and disadvantages. Plication is generally quicker and has a shorter recovery time, but it may result in some shortening of the penis. Grafting, on the other hand, can maintain length but may involve a more extended recovery period and potential complications related to graft healing.

Before deciding on surgery, it is crucial to have a thorough evaluation by a urologist who specializes in sexual medicine. They will assess the degree of curvature, the presence of any underlying conditions, and how the curvature affects your sexual function. If the curvature is causing significant pain or preventing you from engaging in sexual activities comfortably, surgery may be a reasonable option.

In addition to surgical options, there are non-surgical treatments available, such as penile traction therapy, which can help reduce curvature over time. However, these methods may require consistent use and may not be effective for everyone.

It is also essential to consider the psychological impact of penile curvature. Many individuals experience anxiety or self-consciousness regarding their condition, which can affect their sexual relationships. Counseling or therapy may be beneficial in addressing these concerns, regardless of whether you choose to pursue surgical intervention.

In conclusion, whether surgery is necessary for a curved penis during erection depends on the degree of curvature, the presence of pain, and the impact on sexual function. Consulting with a qualified urologist will provide you with personalized advice and help you weigh the risks and benefits of surgery versus non-surgical options. Remember, open communication with your healthcare provider is key to making an informed decision that aligns with your needs and concerns.

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