It's quite common for a penis to bend towards its left or right during erection. But in some severe cases, a curved penis during erection can cause serious pain and can also result in disability to have sex. This is due to a condition called Peyronie's Disease which is basically a connective tissue disorder. It can occur due to severe penis injury and may also be hereditary. it mostly happens in men over 40 but can happen in younger men as well. Doctors suggest surgery only when the condition causes unbearable pain or erectile dysfunction; otherwise doctors prescribe non-surgical solutions.
Many men also have a condition called congenital penile curvature, which causes them to have slightly bent penis from birth. It's usually harmless and does not cause problems in a man's sex life as well. However, some men want to get read of this condition. Doctors typically suggest non-surgical solutions for this condition.
Immediately after diagnosing Peyronie's disease, doctors suggest non-surgical solutions such as shockwave therapy and injecting steroids into the penis. However, if a patient does not respond to these therapies within 12 months, the doctor prescribes surgery which is the most effective way to treat Peyronie's disease. Surgical procedures are of three types, namely, Plication, Grafting and Penile Prosthesis. Plication involves putting stitches on the penis' longer side to pull the its free end to the middle. In grafting, the surgeon makes an incision on the shorter side of the penis to place a graft made of vein or tissue of small intestine. Penile prosthesis is the process of surgically implanting a prosthesis to straighten the penis.
For painless penile curvature, the best form of treatment is non-invasive traction therapy. There are many traction devices that can help a man to elongate and straighten the penis.
Anyone who suffers from severe pain or erectile dysfunction due to Peyronie's disease is eligible for surgical procedures.
There are people, with Peyronie's disease, who respond to non-surgical therapies. They don't need surgeries. Also, people with painless penile curvature should opt for traction therapy and not surgery.
Grafting has a 10-50% risk of impotence after surgery depending on penile circulation and a high risk of nerve injury. Penile prosthesis poses a high risk of nerve injury as well.
Like any other surgery, people have to abide by some rules for the penis to heal properly. Patients can resume their normal sex lives after 5-6 weeks in case of plication and penile prosthesis and after 8 weeks in case of grafting. They can return to work in day after plication, but in case of grafting and penile prosthesis, it can take them 3-4 days.
It takes the patients almost 5-8 weeks after surgery to heal completely. Those, with Peyronie's disease, who go for the non-surgical options, take almost a year to heal properly.
The results of the treatment stay lifelong.