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Lisa
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Lisa
S. Lawless, Ph.D., C.E.O.
HolisticWisdom.com Founder
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Crooked Penis - Bent Penis

Hi
Lisa,
My penis bends really crooked and it happened just this year.
Being that I am 32 years old, I am pretty worried about it.
Any idea what this could be?
-
Josh

Hi
Josh,

| In
EXTREME examples, surgery can provide relief. This
picture is of a 57-year old man with extreme penile
curvature. |
| While
Peyronie's disease may cause the penis to turn upward
it may also cause the penis to turn downward as shown
in the picture below of a man with a full erection
while his penis turns downward. |
|
It
sounds like you may have what is called Peyronie's disease. However,
you should see your physician to get a full exam and a diagnosis.
Cases
of Peyronie's disease range from mild to severe. Symptoms may
develop slowly or appear overnight. In severe cases, the hardened
plaque reduces flexibility, causing pain and forcing the penis
to bend or arc during erection.
In
many cases, the pain decreases over time, but the bend in the
penis may remain a problem, making sexual intercourse difficult.
Many researchers believe Peyronie's disease develops following
trauma (hitting or bending) that causes localized bleeding inside
the penis.
If the penis is abnormally bumped or bent, an area where the septum
attaches to the elastic fibers may stretch beyond a limit, injuring
the lining of the erectile chamber and, for example, rupturing
small blood vessels.
This is exactly why we do not recommend extreme forms of penis
enlargement stretching and pulling.
While
trauma might explain acute cases of Peyronie's disease, it does
not explain why most cases develop slowly and with no apparent
traumatic event. It also does not explain why some cases disappear
quickly or why similar conditions such as Dupuytren's contracture
do not seem to result from severe trauma. Some researchers theorize
that Peyronie's disease may be an autoimmune disorder.
Signs
and Symptoms
Symptoms
include the following:
Hardened
tissue (plaque) in the penis
Pain during erection.
Curve
in the penis
during erection.
Distortion
of the penis
(e.g., indentation, shortening)
Treatment
In
roughly 20% of cases, Peyronie's will go away on its own. The
damaged area might heal slowly or abnormally for two reasons:
repeated trauma and a minimal amount of blood flow in the sheath-like
fibers.
In
cases that heal within about a year, the plaque does not advance
beyond an initial inflammatory phase. In cases that persist for
years, the plaque undergoes fibrosis, or formation of tough fibrous
tissue, and even calcification, or formation of calcium deposits.
Some
researchers have given vitamin E orally to men with Peyronie's
disease in small-scale studies and have reported improvements.
Yet, no controlled studies have established the effectiveness
of vitamin E therapy. Similar inconclusive success has been attributed
to oral application of para-aminobenzoate, a substance belonging
to the family of B-complex molecules.
Chemical
agents such as verapamil, collagenase, steroids, calcium channel
blockers, and interferon alpha-2b directly into the plaques. These
interventions are still considered unproven because studies included
small numbers of patients and lacked adequate control groups.
Steroids, such as cortisone, have produced unwanted side effects,
such as the atrophy or death of healthy tissues.
Radiation
therapy, in which high-energy rays are aimed at the plaque, has
also been used. Like some of the chemical treatments, radiation
appears to reduce pain, but it has no effect at all on the plaque
itself and can cause unwelcome side effects.
Peyronie's
disease has been treated surgically with some success. The two
most common surgical procedures are removal or expansion of the
plaque followed by placement of a patch of skin or artificial
material, and removal or pinching of tissue from the side of the
penis opposite the plaque, which cancels out the bending effect.
The first method can involve partial loss of erectile function,
especially rigidity. The second method, known as the Nesbit procedure,
causes a shortening of the erect penis.
Some
men choose to receive an implanted device that increases rigidity
of the penis. In some cases, an implant alone will straighten
the penis adequately. In other cases, implantation is combined
with a technique of incisions and grafting or plication (pinching
or folding the skin) if the implant alone does not straighten
the penis.
Most
types of surgery produce positive results. But because complications
can occur, and because many of the phenomena associated with Peyronie's
disease (for example, shortening of the penis) are not corrected
by surgery, most doctors prefer to perform surgery only on the
small number of men with curvature so severe that it prevents
sexual intercourse.

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