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Urology (Expert Forum)
what to do about my situation?
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
what to do about my situation?
by wyatt12, Apr 07, 2004 12:00AM
Hi,
I'm currently 32 years old. When I was approximately 17 years old I believe I injured my penis while masturbating. Due to this accident my penis became bent. My penis is about 7" erect, and the bend is about 3 inches from the end. The bend is on the right side of my penis, pointing the end of my penis to the left.
The first few years after the injury, it was just a slight bend. However over the last 15 years it has gradually began to bend more.... and unfortunately in the last 6 months I have seen a major change in the amount of bend. My penis now bends maybe 20+ degrees to the left.
The bend has gotten to a point where it is becoming increasingly difficult to have sex with my wife. We can still have intercourse just fine, but I can its not as enjoyable to her, and I'm beginning to feel pain afterwards. The pain is a result of my penis being partially forced straight against the bend. The pain is just minor discomfort that goes away after a few hours.
I'm not too concerned about the pain. I'm more concerned with not being able to have sex someday.
I have never been to a Dr. for this problem, mainly because I've been too embarassed, and always been under the impression from my Internet research that there is no real good solution.
Yet, now the problem has become severe enough for me seek professional help.
What surgeries are available to fix my problem? Will it ever be possible for me to ever have a perfectly straight penis after surgery?
Will I still be able to get an erection after surgery? Can this be accomplised without any implants?
Will I have to get an erection at the Dr's office so they can see the problem? If so, how does this happen? The old fashion way?
If surgery is a solution, should I also see a plastic surgeon? I want my penis to look normal.
This is my penis we are talking about. It is very VERY important to me. I want the absolutely best Dr. in the world, and I'm willing to travel anywhere and spend major $$$ to have my problem solved. Do you have any suggestions?
Any answers to my questions would be much appreciated.
Regards.
Richard
I'm currently 32 years old. When I was approximately 17 years old I believe I injured my penis while masturbating. Due to this accident my penis became bent. My penis is about 7" erect, and the bend is about 3 inches from the end. The bend is on the right side of my penis, pointing the end of my penis to the left.
The first few years after the injury, it was just a slight bend. However over the last 15 years it has gradually began to bend more.... and unfortunately in the last 6 months I have seen a major change in the amount of bend. My penis now bends maybe 20+ degrees to the left.
The bend has gotten to a point where it is becoming increasingly difficult to have sex with my wife. We can still have intercourse just fine, but I can its not as enjoyable to her, and I'm beginning to feel pain afterwards. The pain is a result of my penis being partially forced straight against the bend. The pain is just minor discomfort that goes away after a few hours.
I'm not too concerned about the pain. I'm more concerned with not being able to have sex someday.
I have never been to a Dr. for this problem, mainly because I've been too embarassed, and always been under the impression from my Internet research that there is no real good solution.
Yet, now the problem has become severe enough for me seek professional help.
What surgeries are available to fix my problem? Will it ever be possible for me to ever have a perfectly straight penis after surgery?
Will I still be able to get an erection after surgery? Can this be accomplised without any implants?
Will I have to get an erection at the Dr's office so they can see the problem? If so, how does this happen? The old fashion way?
If surgery is a solution, should I also see a plastic surgeon? I want my penis to look normal.
This is my penis we are talking about. It is very VERY important to me. I want the absolutely best Dr. in the world, and I'm willing to travel anywhere and spend major $$$ to have my problem solved. Do you have any suggestions?
Any answers to my questions would be much appreciated.
Regards.
Richard
Doctor's Answer
by Kevin Pho, MD, Apr 08, 2004 12:00AM
, Apr 08, 2004 12:00AM
What you are describing may be attributable to Peyronie's disease. Peyronie’s disease is characterized by the formation of hardened tissue (fibrosis) in the penis that causes pain, curvature, and distortion, usually during erection. The cause of Peyronie’s disease is unknown. Cases that develop suddenly are often caused by trauma to the penis (e.g., invasive penile procedure, injury, extremely vigorous sexual activity).
Treatment options for patients with Peyronie’s disease are limited. The goal of treatment is to reduce pain and maintain sexual function. Surgery is the only effective treatment, and because Peyronie’s may resolve on its own, physicians often advise waiting 1 or 2 years before choosing this option.
Vitamin E supplementation and para-aminobenzoate tablets (B- complex substance) may be taken for several months. Chemical agents such as a calcium channel-blocker (e.g., verapamil), an enzyme that breaks down connective tissue (collagenase), and steroids (e.g., cortisone) may be injected into plaque.
Surgical treatment may be used in severe, persistent cases of Peyronie’s that have not responded to nonsurgical treatment. Procedures involve the removal (excision) of hardened tissue and skin graft, the removal or pinching (plication) of tissue opposite the plaque to reduce curvature (called the Nesbit procedure), a penile implant, or a combination of these.
You may want to discuss these options with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Treatment options for patients with Peyronie’s disease are limited. The goal of treatment is to reduce pain and maintain sexual function. Surgery is the only effective treatment, and because Peyronie’s may resolve on its own, physicians often advise waiting 1 or 2 years before choosing this option.
Vitamin E supplementation and para-aminobenzoate tablets (B- complex substance) may be taken for several months. Chemical agents such as a calcium channel-blocker (e.g., verapamil), an enzyme that breaks down connective tissue (collagenase), and steroids (e.g., cortisone) may be injected into plaque.
Surgical treatment may be used in severe, persistent cases of Peyronie’s that have not responded to nonsurgical treatment. Procedures involve the removal (excision) of hardened tissue and skin graft, the removal or pinching (plication) of tissue opposite the plaque to reduce curvature (called the Nesbit procedure), a penile implant, or a combination of these.
You may want to discuss these options with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
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