Does your penis look a little stretched and bent to one side when you're erect? This is actually quite normal for most men. Not everyone's body is the same, and everyone's penis is different in size and shape. So it's natural for the penis to be completely erect and have a little stretch when you're erect. But sometimes, if this stretch is a little too much, or if it's accompanied by pain, then we need to be a little concerned about this.
What is Penile Curvature?
Simply put, this is when your penis is not straight when erect, but rather curved up, down, right, or left. As I said before, a little curvature is not a problem. It's just part of your body.
However, if you experience any of the following, it's a good idea to see a doctor:
- If the tightness in your penis is causing discomfort to you or your partner .
- If you feel pain during arousal, sexual intercourse, or masturbation.
- If your partner is experiencing pain or discomfort due to the curvature of your penis.
Having symptoms like these could be a sign of another underlying health condition, which is why it's important to seek medical advice.
Remember, a slight curvature of the penis is very normal. There is no reason to be ashamed or afraid of this.
There are two types of penile curvature.
We mainly divide this condition into two types. This classification is made according to the time it occurs.
| Type of curvature | A simple explanation |
|---|---|
| Congenital Penile Curvature/Chordee | This is a condition that is present from birth. However, many people only realize they have it after puberty, when the penis begins to become erect. This is usually not painful. |
| Peyronie's Disease | This is a condition that occurs later in life. It is caused by scar tissue that forms inside the penis. The exact cause of this is not yet clear. It is thought that this can sometimes be caused by minor injuries to the penis that have become erect. However, most people have no memory of such an injury. |
What other symptoms can be seen during penile erection?
The main symptom is that the penis is bent to one side. However, there are several other symptoms that can occur. Not everyone will experience all of these symptoms.
Physically visible symptoms:
- Penile Torsion .
- Getting things like lumps inside the penis.
- Feeling a decrease in the length of the penis when aroused.
- The girth of the penis decreases in some areas, taking on an hourglass shape .
- Difficulty getting or maintaining an erection (erectile dysfunction) .
- Feeling less energetic than before.
- Pain when urinating.
- Pain or discomfort during sex.
How it can affect you mentally:
When a change occurs in the body, especially in the genitals, it also affects our minds. This can cause some people to experience conditions like:
- Anxiety
- Depression
- Stress
Why is the penis so stretched?
As I said before, a small waist is normal. There is no need to look for a specific reason for it. However, if there is a significant degree of curvature, there could be several reasons for it.
- The exact cause of congenital curvature (chordee) is not yet known. It is believed that it may be caused by the tissue on one side of the penis being more elastic than the other.
- The main cause of Peyronie's disease is injuries to the erect penis. These injuries can occur without you realizing it.
- During sex: Sometimes the penis can bend if it slips and hits the wrong spot, or if the weight is incorrectly placed in certain sexual positions (for example, when the partner is on top).
- Rapid masturbation: Rapid or rapid masturbation can also cause minor injuries.
- Other accidents: The penis can also be damaged by something like rolling over in bed or falling while aroused.
The important thing is that not everyone who develops Peyronie's disease has a major, obvious injury. The condition can develop even if it accumulates over time from very minor, unnoticed injuries (micro-trauma) that occur during normal sexual life or masturbation.
Is this a contagious disease?
No. Penile erection is not a sexually transmitted infection (STI). It cannot be passed from one person to another.
Will this affect fertility?
No. The curvature of the penis will not affect your ability to have children.
How does a doctor find this?
When you go to see a doctor, he usually diagnoses this condition in a few steps:
1. Talks about your medical history: Asks about other illnesses you have and medications you take.
2. Asks about symptoms: How long has this condition been present, is there pain, and whether it is affecting your sex life.
3. Performs a physical examination: Examines the penis.
Sometimes, to accurately measure the degree of curvature, it may be necessary to examine the penis while it is erect. For this, your doctor may give you a temporary injection of a vasoactive drug.
Tests if necessary
- Penile Duplex Doppler Ultrasound: This is a scan that uses sound waves to look at the blood flow in the blood vessels inside the penis and to see if there is any scar tissue.
- Goniometer: This is a device similar to a protractor. It is used to accurately measure the angle of curvature of the erect penis.
Is there a treatment for this condition?
Yes, absolutely. But not everyone needs treatment. If your penis curvature is minor, not painful, and not interfering with your sex life, you may not need any treatment.
However, if treatment is needed, your doctor will refer you to a urologist, a specialist in diseases of the urinary and reproductive systems. He or she will help you choose the most appropriate treatment option for you.
| Treatment method | Description |
|---|---|
| Traction Therapy | This involves using an external device (e.g., a vacuum erection device) to gently pull the penis. This may take several months. |
| Medications | Medications that help break down scar tissue can be injected directly into the penis, and oral medications that improve blood flow may also be prescribed. |
| Surgery | If the curvature is severe, surgery can be done to remove scar tissue or to reduce the curvature with stitches. Another option is to have a penile implant . This is a medical device that is inserted into the penis. This can help you achieve a straight, strong erection whenever you need it. |
Is it okay to try to straighten this yourself at home?
It's not good at all. If you try to straighten or forcefully bend your penis on your own without the advice of a doctor, the situation may get worse. So please don't do such things.
Can this situation be prevented?
Congenital curvature cannot be prevented. However, there are things we can do to reduce the risk of developing Peyronie's disease later in life. That is, to avoid injury to the penis.
- Maintain your erection: As you age, your erection may decrease. This can increase your risk of erectile dysfunction during sex. Your doctor may prescribe medications such as sildenafil (Viagra®) or tadalafil (Cialis®) . These work by increasing blood flow to the penis, giving you a stronger erection. If you are experiencing a loss of erection, talk to your doctor right away.
- Be careful during sex:
- Use lubricants to reduce friction.
- If your penis slips while changing positions, control it with your hands .
- Be especially careful in certain positions (e.g. when your partner is on top).
When is the best time to see a doctor?
If you notice any changes in your penis, especially if it gradually increases in size, is accompanied by pain, or is causing discomfort during sexual intercourse for you and your partner, see a doctor immediately.
When to go to the Emergency Treatment Unit (ETU)
If you have any of the symptoms below, go to the nearest hospital's Emergency Department (ETU) without delay.
- If you hear a "pop" sound during an erection, lose your erection with severe pain, and the penis becomes swollen and turns blue. (This is an emergency called a penile fracture ).
- If you can't urinate .
- If there is blood coming from the penis.
Take-Home Message
- A slight curvature of an erect penis is very normal and natural . There is no need to be unnecessarily afraid of it.
- It is important to seek medical advice only if you experience symptoms such as pain, difficulty with sexual intercourse, or lumps on the penis.
- This condition (Peyronie's Disease) is often caused by minor injuries to the penis. The risk can be reduced by being careful during sexual intercourse.
- Never try to straighten your penis on your own without medical advice. This can make the condition worse.
- If you are feeling psychologically distressed by this situation, talk openly about it with your partner and a doctor. Getting proper treatment and advice can help you find solutions to this problem.
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