Inherent and acquired penis curvature (Peyronie's disease)
Inherent curvature of the penis (penis deviation)
A slight penis curvature does not limit the man regarding sexual intercourse. However, there may be a desire for straightening due to aesthetical respectively psychological reasons, particularly regarding downward curvatures or curvatures to one side. On the contrary, moderate upward curvatures of the penis may be quite favoured as an optical symbol for virility, because an upwardly bent penis is characterised by a subjectively steeper erection when compared to a straight penis with the same angle of erection.
Angles of curvature of more than approx. 30 degrees make the insertion of the penis into the vagina harder and may cause pain for the partner. Even stronger curvatures may render the penetration impossible so that the person affected must ultimately go without normal sexuality. Such a pronounced penis deviation is often operated by removing relatively excessive tissue with a tolerable loss of substance of the penis (so-called Nesbit technique).
Acquired curvature of the penis (Peyronie's disease / Induratio penis plastica)Regarding a modification of the penis tissue named after its discoverer Peyronie (also Induratio penis plastica, IPP) a strong curvature or a strong angularity of the penis of up to 90 degrees frequently occurs with the consequence of painful erections, erectile dysfunctions, or loss of sensitivity of the glans. The penis may also shorten significantly.
Peyronie's disease is a diagnostically palpable induration (so-called "plaque") in the penis, presumably a consequence of an inflammation between the cavernous bodies of the penis and their adventitia (tunica). Peyronie's disease occurs in people between 20 and 80 years of age and must not be confused with an inherited penis curvature (see above).
Treatment optionsThe medical treatment with non-specific preparations or physical therapies (radiotherapy, ultrasound, laser) do not always achieve the desired symptomatic improvement or cure.
There are different operation methods in order to treat a strong plaque-related curvature of the penis. The removal of healthy tissue of the penis on the opposite side of the plaque is an established method within the framework of which the penis will be shortened additionally, however (so-called Nesbit technique). The removal and substitution of the plaque by healthy tissue found in the body or collagen is far more expensive. The cavernous bodies can be replaced by an implant as the ultimate option.
PeniMasterfor acquired and inherited penis curvature
The application of PeniMaster at the beginning of Peyronie's disease can counteract a progressive penis curvature. Even before a penis is straightened by an operation within the framework of Peyronie's disease or inherited penis deviation, wearing an expander may already result in an established curvature being straightened so that less healthy tissue must be removed from the penis for compensation purposes and the penis shortening may be smaller. An expander may also be used to counteract the retractive scar-healing procedure and therefore help establishing the operation result.
Regarding a so-called acquired penis curvature (Peyronie's disease) tissue lumps form on one side of the penis (semi-circle) while the other side is no longer able to erect to the full extent. The surgeon will cut out a piece from the side that has already less tissue (triangle) and will seam the side together afterwards. The penis will be straighter afterwards, but it will also be significantly shorter (mostly several centimetres).
- in the case of inherited penis curvature
- in the case of Peyronie's disease (Induratio penis plastica, IPP)
- Peyronie's disease: tissue modification due to inflammation
- palpable induration may result in penis curvature, erectile dysfunctions, pain
- no "normal" curvature of the healthy penis
- different therapy approaches
- Penis expander for the reduction of curvatures + prevention and follow-up of an operative treatment