PENIS CURVATURE

Penis curvature is characterized as an abnormal angulation of the erect penis (bent penis). Two-thirds of men whose penis is bent experienced pain the shaft of the penis. In most cases, it will gradually settle down and disappear without treatment in a few months. Curvature of the penis alone is not harmful, but occasionally, severe bending would makes intercourse difficult or impossible.

Causes

Peyronie's disease

This is a serious condition where the internal tissue of the penis turns to scar tissue. This disease was first documented by a French physician named Francois de la Peyronie, whom had discovered that scar tissue in the penis could result in significant bending of the penis.

Because this scar tissue is hard and inflexible, it causes the penis to bend when erect. A plaque on the top of the shaft (most common) causes the penis to bend upward; a plaque on the underside causes it to bend downward. In some cases, the plaque develops on both top and bottom, leading to indentation and shortening of the penis. Although this curvature can sometimes by quite painful, the plaque itself is non-cancerous. It is also possible that the penis may be hard at the base, but soft at the top or skinny in the middle like an invisible band has been fastened around it.

Unlike hypospadias, which is an accident at birth, Peyronie’s disease is acquired during adult life. It can occur fast, without any apparent reason; a man may wake up one morning with his erection bent over. It affects about 1 % of men. Most reported cases have been white males in the 40-60 age range.

Weak and poor development

Weak and poor development of the corpora cavernosa (Spongy tissue) is another cause of penis curvature. The penis consists of spongy tissue called the corpora cavernosa. If the little openings in the spongy tissue on one side of the penis develop to a lesser degree than that on the other side then the lesser-developed side will have stronger blood circulation. This increased blood flow would force the penis head over the furthest point of leverage, causing a curved or banana shaped penis.

Restrictive clothing

When boys who wear tight underwear get erections, their penises are restricted from a normal outward growth. They often bend their penises over to the side to hide the embarrassing erection. This affects the development of the young penis because blood will flow better through one side of the spongy tissue and leave the other side under nourished.

Injury

Acute or repetitive trauma (hitting or bending) can cause localized bleeding inside the penis. This leads to fibrin deposition (scar tissue) in the tissue space that receives injury. Also, the trauma can cause collagen to be trapped that can lead to pathologic fibrosis – the formation of calcium deposits.

Age

With age there is a decrease in the elasticity of collagen fibers which can also lead to scar tissue.

Other causes

Vasoactive substance injection therapy, vitamin E deficiency, the use of beta-blocking agents and autoimmune phenomena.

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