There is no bone structure in the penis that provides erection. All men achieve erection in the penis thanks to the structure of two adjacent tubes that can receive large amounts of blood with sexual stimulation. These tube structures extend both widthwise and lengthwise due to the influence of the blood entering them during sexual stimulation. In order for us to talk about a normal erection in the penis, plenty of blood must come to these tube structures, the incoming blood must be trapped in both tube structures for a long time, and there must be no deformity in the tubes that provide erection. If all these stages proceed in a healthy way, only then will there be a satisfactory erection and successful sexual intercourse.
HOW DOES PENIS CURVATURE OCCUR IN ADVANCED AGES?
Advanced penile curvature is seen due to late diagnosis of penile curvatures at a young age or Peyronie's disease at an advanced age. Penile curvatures, which are congenital but diagnosed at an advanced age, must be corrected by surgery if they are above a certain angle and cause sexual intercourse problems. If an elderly patient states that he has not had a penile curvature before and says that his penis is slowly bending after a painful period, Peyronie's disease should definitely come to mind.
PEYRONI'S DISEASE (PENILE PLAQUES) HOW DOES IT OCCUR?
Peyronie's disease is a chronic disease characterized by plaques that develop on the walls of the tube structures that provide erection, as a result of repeated sexual intercourse, and quickly causes curvature in the penis. Peyronie's disease, which is especially common in men over the age of 50, manifests itself with pain in the early (acute) period of the first 6 months, and causes complaints with palpable hard plaques and penile curvature in the later (chronic) period of the next 6 months. When the tube wall structure, which should normally be elastic (stretchable), deteriorates and is replaced by a plaque structure that cannot stretch, penile curvature becomes inevitable.
HOW IS PEYRONI'S DISEASE? CAN IT BE TREATED?
Peyronie's disease; It is a progressive disease that quickly leads to deformity of the penis. The disease is just pain While surgical intervention is not recommended in the first 6 months (acute) period when the disease is characterized, surgery is absolutely necessary in patients in the chronic period, when the pain subsides and plaque formation and curvature are more clearly seen. Peyronie's disease surgery is completely different from congenital penile curvature surgery. Especially if the plaque causing the curvature is clearly formed, that plaque must be completely removed and replaced with a new patch material with strong elastic properties (grafting). Due to these aspects, Peyronie's disease surgery should be performed by a urologist who has developed himself especially in andrological reconstructive surgery.
WHAT HAPPENS IF PEYRONI'S DISEASE IS NOT TREATED?
Like congenital penile curvature, if left untreated, Peyronie's disease will progress at a high rate and reach a higher angle than when it was diagnosed, making the penis unusable for sexual intercourse. Because; Peyronie's disease, which causes penis curvature above a certain degree at the time of diagnosis and makes the penis unusable during sexual intercourse, must be treated.
IS PENIS LENGTH SHORTEN AFTER PEYRONINE'S DISEASE SURGERY?
The plaques formed in Peyronie's disease already cause shortening of the penis because they do not have stretching properties. For this reason, in patients at the diagnosis stage where surgical intervention is not performed, shortness along with curvature is an important reason for consulting a doctor. Correct information that should be given to Peyronie patients; The problem of shortness already occurs in the early stages of the disease, the shape of the penis is a priority for a healthy sexual intercourse, and measurements such as length and thickness will only work with a properly shaped penis.
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