How is the penis anatomy and structure?
The penis, which is a male sexual organ, has a body, glans, and skin covering it. A thick, elastic membrane lies underneath the skin, shielding the internal structures. On the inside of the penis, there are 3 structures similar to pipes or long tubes. The lower part of them (the long line facing the testicles) is a spongy structure that serves as a canal for the discharge of urine and semen. This canal opens to the prostate and then to the bladder. On this tube, there are two more tubes side by side. These have a rich-blood vessel structure.
What are the causes of penile curvature?
We can divide the penile curvatures into 2. The first one is the congenital curvatures, the second is the curvatures that are acquired afterwards. The reason for the first is not known clearly. The second is the plaques (Peyronie’s Plaque) that usually develop due to microtraumas.
Congenital penile curvature (Congenital Penile Curvatur): This situation, the cause of which is not clearly known, is usually noticed after adolescence. Patients notice that there is a curvature in their penis during erection and consult a doctor. However, the number of applications is less than expected due to embarrassment. Taking pictures of the penis in an erected state in a suitable home setting is the easiest and most effective method of diagnosis. The picture should be taken from the side and from above.
Treatment: It is not possible to treat this condition with medication. It needs to be corrected surgically, but surgery is not required for curvature at all levels. Patients with a curvature of more than 30-40 degrees or who experience pain during erection are candidates for surgery. One of the most relevant criteria for the surgery is whether the curvature permits sexual activity. If the patient does not have difficulty in the relationship despite the curvature, there is no need for surgery. However, patients often want to correct the curvature for cosmetic reasons.
Two different surgery methods are used for correction. The first is to correct the curvature by cutting from the opposite limb, aligning the side, and stitching it, and the second is to apply a tissue patch to the curved side. The first is a simpler surgery and will be sufficient for most patients. The second method is used in advanced penile curvature.
Curvatures seen in cases where the urinary meatus, called hypospadias or epispadias, are not in their natural position are another cause of congenital curvatures. These cases are treated during the routine reconstruction surgery of the urinary meatus.
Subsequent penile curvatures (Peyronie’s): Subsequent curvatures may have many reasons, these are; penile trauma, chronic compulsive movements, injection to the penis used for erection treatment, use of vacuum device, presence of connective tissue diseases. Each of these factors causes a calcification-like structure in the inner membranes of the penis, which manifests as a palpable plaque (Peyronie’s Plaque). It is usually seen between the ages of 40-60. Sometimes the pain is also seen during erection. The diagnosis of the disease can be made by examination. The size of the plate, if there is an issue with the penile vessels, and the degree of curvature can all be seen with color ultrasound to the penis.
– Treatment: There is a period when the disease progresses from the beginning and then pauses. This period usually reaches 18 months. Therefore, before planning surgery in required patients, this time is expected to expire. Early surgery can fail because it has a probability of not preventing later curvatures. In the first period of the disease, drug treatment prevents the increase of the curvature in approximately 50-60% of patients. In addition, drug therapy started in the first period reduces the pain during erection by 90%. Drug therapy is used during the first 6 months of illness and often involves a combination of several drugs.
[/vc_column_text][/vc_column][/vc_row][vc_row bg_type=”grad” bg_grad=”background: -webkit-gradient(linear, left top, left bottom, color-stop(0%, #E3E3E3), color-stop(23%, #E3E3E3), color-stop(24%, #E3E3E3), color-stop(25%, #E3E3E3));background: -moz-linear-gradient(top,#E3E3E3 0%,#E3E3E3 23%,#E3E3E3 24%,#E3E3E3 25%);background: -webkit-linear-gradient(top,#E3E3E3 0%,#E3E3E3 23%,#E3E3E3 24%,#E3E3E3 25%);background: -o-linear-gradient(top,#E3E3E3 0%,#E3E3E3 23%,#E3E3E3 24%,#E3E3E3 25%);background: -ms-linear-gradient(top,#E3E3E3 0%,#E3E3E3 23%,#E3E3E3 24%,#E3E3E3 25%);background: linear-gradient(top,#E3E3E3 0%,#E3E3E3 23%,#E3E3E3 24%,#E3E3E3 25%);”][vc_column][vc_custom_heading text=”Randevu & Bilgi”]