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My Penis is not straight

My Penis is not straight

Few penises are straight. Majority are curved left, right, up or down but they rarely hamper sexual intercourse. Many people are unduly worried about the shape of their penis. Curvature as much as 30 degree may be normal. If curvature is more than 45 degree, it may need treatment. 

Treatment is by surgery only

 Common disorders are – Congenital Penile Curvature ,Chordae and Peyronie’s Disease.

Chordae is generally downward bending of the tip of penis at the junction of glans and shaft. It is generally associated with Hypospadias. It is a congenital problem and should be repaired surgically at the age of 12-18 months.

Peyronie’s Disease is formation of fibrous plaques in the Tunica Albugenia (It is the tough Sheath surrounding the corpora cavernosa and corpora spongiosum). It is generally initiated by repeated injury to the vascular tissue due to horse riding, cycling or frequent use of Female on top position.

It is more common in people with Diabetes and those who perform sexual intercourse in missionary position in highly passionate state, sometimes under influence of drugs, because they miss the target often resulting in repeated micro vascular insult. It results in pain on erection and difficulty in penetration.

Peyronie’s Disease is managed by Calcium Channel blockers like Verapamil, Drugs like pentoxifylline 400 mg per day, Intra lesional injection of steroids. These should be used if pain is present during erection. Otherwise surgical correction may be needed.