It can be present since birth or early childhood when it becomes more prominent with the onset of puberty . Often people are too obsessed with the size, shape or the curve of their organ. Remember, NO ONE has a perfectly straight penis and it doesn’t matter as well. If you can perform the job of passing urine and intercourse ( that means you should be able to enter vagina and complete sex) , you needn’t worry. A curve of up to 15 degrees in shaft and any deviation to right, left, up or down is normal . Apart from these situations may need assessment . If present since birth , it can be corrected by surgery only and results are very good . but some times one may develop bend after many years of normalcy. One of the conditions responsible for bending is Peyronie’s Disease.
There can be many reasons of developing peyronie’s – Diabetes is commonest . There is repeated injury to the minute blood vessels in penis , resulting in bleeds. It will heal by fibrosis and slowly, patches of fibrosis develop. When this contracts, a curve in penis is seen . Usually it is in upward direction . There can be shortening as well because the stretchability of penis is reduced . It can be first sign of ageing or diabetes . There may be pain on erection associated with low Sex hormone, Erection problems also can be found . Initial complain can be painful erection . Generally pain will subside with time in 6-12 months .
During this time, curve may remain stable, increase or be reduced , needing no further treatment. If the bend is bad enough to hinder Vaginal penetration, surgery may be needed Types of surgery – 1- Penile straightening – The aim of surgery is to reduce the bend as much as is needed to have a successful penetrative sex . We never try to make it absolute straight because this is neither possible nor necessary. The results are variable according to the location and size of plaque . One procedure will result in slight shortening of penile length after surgery while other will result in no loss of size but choice depends on many factors. 2- Penile Implant- If it is not successful or surgeon feels it impossible to make it straight, only option left is putting in a Penile implant