Hello, doctor?
Hello doctor, I previously asked a question, but I still have some issues I would like to consult you about.
The link http://sp1.cto.doh.gov.tw/doctor/All/index.php?d_class=泌尿科 is related to my last inquiry.
Regarding the second point I mentioned before, I still have some doubts.
I am unsure how to describe this, but I have taken pictures of the shape of my penis during an erection.
You can view them at http://tw.myblog.yahoo.com/jw!1Xg3nneBEwUorSyrGDU3KgkMDwo-/gallery?fid=2.
Could you please take a look at the photos and let me know if the shape of my penis is congenital or if it has been caused by external factors? I have a memory that the shape during an erection did not seem like this before.
Although there is no pain during an erection, I still want to confirm this with you.
Thank you, doctor.
Jie, 20~29 year old female. Ask Date: 2007/03/06
Dr. Xu Weikai reply Urology
Hello, actually, the erection, size, and appearance of the penis are mostly determined by genetics.
However, the intensity of stimulation can lead to variations in erection hardness and size.
Of course, if there has been an injury, it can affect the appearance.
Your erection appears to be normal.
Very few people have a completely straight erection; there is usually some degree of curvature.
As long as you can successfully engage in sexual intercourse, there is generally no need to be overly concerned.
Note: Surgical correction is only necessary if the curvature exceeds 30 degrees or if there is significant pain.
Director of Urology, Taitung Hospital, Department of Health, Executive Yuan, Dr.
Hsu Wei-Kai.
Reply Date: 2007/03/06
More Info
When it comes to understanding penile curvature, it's important to consider both congenital (birth-related) and acquired (due to injury or other factors) causes. Based on your description and the images you've provided, there are several aspects to consider.
Firstly, penile curvature can be a normal anatomical variation. Many men have some degree of curvature, and it may not necessarily indicate a medical problem unless it causes pain or interferes with sexual function. If you have noticed a change in the curvature or shape of your penis during erections, it could suggest an acquired condition, such as Peyronie's disease, which is characterized by the development of fibrous scar tissue inside the penis, leading to curved, painful erections.
In your case, since you mentioned that the curvature seems different from what you remember, it would be prudent to consult a urologist who can perform a physical examination and possibly recommend imaging studies to assess the internal structure of the penis. This evaluation can help determine if there is any underlying condition, such as plaque formation associated with Peyronie's disease or other structural abnormalities.
If the curvature is indeed due to Peyronie's disease, treatment options vary depending on the severity and duration of the condition. In mild cases, observation may be sufficient, especially if there is no pain or functional impairment. For more significant curvature that affects sexual function, treatments may include oral medications, injections directly into the plaque, vacuum erection devices, or surgical options in severe cases.
Additionally, if you have experienced any trauma to the penis, it's essential to discuss this with your healthcare provider. Trauma can lead to conditions such as penile fracture or injury to the erectile tissue, which may also result in curvature.
Regarding the images you shared, while I cannot view external links or images, I recommend discussing them directly with your urologist. They can provide a more accurate assessment based on a physical examination and your medical history.
In summary, the key steps you should take include:
1. Consult a Urologist: Schedule an appointment with a urologist who specializes in male reproductive health. They can provide a thorough evaluation and discuss your concerns in detail.
2. Document Changes: Keep a record of any changes you notice, including the degree of curvature, any pain during erections, and any other symptoms such as changes in urination or sexual function.
3. Consider Imaging: If recommended, imaging studies such as an ultrasound can help visualize any structural changes or abnormalities in the penis.
4. Discuss Treatment Options: If a condition like Peyronie's disease is diagnosed, discuss the available treatment options with your urologist to determine the best course of action for your situation.
Remember, seeking medical advice is crucial for any changes in your health, especially concerning sexual health. Early intervention can often lead to better outcomes and peace of mind.
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