Penile curvature may be a congenital problem or may appear later. The mechanism of formation of the curvature, its location, angle and whether there is an erection problem are important in planning the treatment.
While penile curvatures encountered at early ages are mostly congenital curvatures, curvatures encountered at older ages usually develop due to Peyronie's disease.
In congenital curvatures, erectile dysfunction is generally not encountered and there is no complaint of pain. It is possible to completely correct these curvatures with surgery. In addition, some patients with hypospadias, also known as prophet circumcision, may have a curvature in the penis. For this reason, it is useful to inquire about the erection status of these children from their families. Correction of the curvature during hypospadias surgery can sometimes change the type and duration of the surgery. For this reason, the clearest evaluation in these patients can be made after the penis skin is opened during surgery and the penis curvature is observed with artificial erection.
Curvatures encountered in older ages and mostly developing due to Peyronie's disease have a more complex structure and in such curvatures, there is pain in the penis in the initial phase. is also seen. Some medications used during this period, which is the first phase of the disease, help reduce the progression of the curvature and reduce pain. The second stage of the disease occurs 1-2 years later. At this stage, curvature, deformity and erectile dysfunction in the penis begin. Pathological penile changes that develop in the patient may differ from patient to patient. For this reason, at this stage, the situation should be evaluated with each patient and treatment planning should be made on a patient-by-patient basis. While sometimes correcting the curvature alone is sufficient, sometimes the developing erection problem and the distortion in the appearance of the penis may need to be resolved simultaneously. In order to correct the deterioration in the penis structure of the patient, patching with a graft taken from the patient's own vascular or appropriate fascia tissue may be required.
Depending on the surgery performed during these procedures, some patients may experience a shortening in penis length after the procedure. This is mostly a minimal shortening, but this situation should be known by the patient. There is benefit.
The aim of these procedures, in which the nerve structures of the penis are preserved, is to give the penis a straight and healthy structure. In patients with erection problems, medical treatments or prosthesis applications may be needed to solve this problem. Color Doppler ultrasound images of the penis may also be needed in some patients to clearly evaluate whether there is an erection problem.
In penis corrective surgeries, the nerves that enable erection should be carefully protected and the surgery should be performed by taking care to avoid any related problems.
For the comfort of the partners in sexual intercourse and a happy union, the condition of patients with curvature problems is only a cosmetic matter. It would be beneficial for them not to see it as a problem and to research the treatment needed to solve the problem so that their physical and emotional relationship can be long-lasting.
Read: 0
