Abnormal shape of Penis
The penis is the male sex organ, reaching its full size during puberty. In addition to its sexual function, the penis acts as a conduit for urine to leave the body.
DIFFERENT TYPES OF PENIS SHAPE/SIZE-
Most men are worried about their penis shape and size all their life, but what they don’t know is that all penis sizes big or small are normal. There are almost 20 types of penis sizes and all are unique in themselves. Let us talk about some of the most common penis sizes.
- Curved Upward- This penis shape can be similar to a banana curving upward when erect. This type of penis can be advantageous as it can hit all the right spots. Keep it natural don’t try to experiment a lot and you will be able to rock their world.
- Curved Downward- This penis also has a curve; the only difference is that it is downward so you can hit all the downward notes. The curve may be very noticeable when erect.
- C-shape- This type of penis has a curve to the right, this type of penis can be useful when you and your partner love to try new things, so take advantage and find the right spots.
- Straight- The straight type of penis has no angles to accommodate, so you can probably get into any position you and your partner are comfortable with.
- Bigger Base with Narrow Head- This type of penis is thicker on the base and gets narrowed down closer to the head. This can be a wonderful tool for you to please your partner, try positions that may be comfortable for both you and your partner.
- Narrow Base with Larger Head- This type of penis is longer and thinner but has a large head, this can be a great stimulant for your partner, choose positions that will help your partner to get maximum stimulation.
- Spindle shape penis- This type of penis is wider at both the ends and narrow in the middle. It may or may not cause difficulty or pain while erection, if not than choose a position that let your partner to get maximum stimulants.
The penis is made of several parts:
- Glans (head) of the penis: In uncircumcised men, the glans is covered with pink, moist tissue called mucosa. Covering the glans is the foreskin (prepuce). In circumcised men, the foreskin is surgically removed and the mucosa on the glans transforms into dry skin.
- Corpus cavernosum: Two columns of tissue running along the sides of the penis. Blood fills this tissue to cause an erection.
- Corpus spongiosum: A column of sponge-like tissue running along the front of the penis and ending at the glans penis; it fills with blood during an erection, keeping the urethra — which runs through it — open.
- The urethra runs through the corpus spongiosum, conducting urine out of the body.
An erection results from changes in blood flow in the penis. When a man becomes sexually aroused, nerves cause penis blood vessels to expand. More blood flows in and less flows out of the penis, hardening the tissue in the corpus cavernosum.
Penile curvature is a physical condition that can have many emotional and relationship impacts on a man. Patients with this condition describe curvature of the penis during erection that has been present for as long as they can remember. It is usually first recognized around puberty or early adulthood. It differs from Peyronie’s disease in that there is no scar tissue within the penis, and the condition usually does not change over time.
Congenital curvature (penis curvature from birth) is exceedingly rare. Less than estimated 1% of men experience penile curvature without Peyronie disease.
TREATMENT OF PENILE CURVATURE-
In mild forms it does not require any treatment. However, when the degree of curvature interferes significantly with the ability to have sexual intercourse, surgical correction is used to restore normal function and form to the penis.
It’s common for the penis to curve slightly to the left or right when it’s erect. But if you have a more significant bend in your penis, which may cause you pain or difficulty having sex then; it can sometimes be symptoms of Peyronie’s disease.
Peyronie’s disease is a disorder in which scar in external link tissue, called plaque, forms under the skin of the penis—the male organ used for urination and sex.
The plaque builds up inside the penis, in the thick elastic membrane called the tunica albuginea. The tunica albuginea helps keep the penis stiff during an erection. The plaque can develop anywhere along the penis.
As it develops, the plaque pulls on the surrounding tissues and causes the penis to curve or bend, usually during an erection. Curves in the penis can make erections painful and may make sexual intercourse painful, difficult, or impossible.
Peyronie’s disease causes the penis to become curved when it’s erect. The condition mostly affects men over 40, although it can happen at any age.
SYMPTOMS OF PEYRONIE’S DISEASE-
- A thickened area or hard lump (plaque) in the shaft of the penis (it’s rare to get more than one plaque)
- A curve in the penis when it’s erect (usually it curves upwards)
- Pain in the penis, usually during an erection (pain in the non-erect penis is rare)
- The penis looking misshapen, like an hourglass
- Loss of length or girth of the penis
Some men with the condition get pain in their penis, while others get none. If you do get pain, it may get better over time. But in severe cases, the curve in the penis can make having sex difficult, painful or even impossible. Peyronie’s disease may also lead to erectile dysfunction.
CAUSES OF PEYRONIE’S DISEASE- Medical experts do not know the exact cause of Peyronie’s disease but believe that it may be the result of
- acute or chronic injury to the penis
- autoimmune disease
Peyronie’s disease is not contagious or caused by any known transmittable disease.
DIAGNOSES OF PEYRONIE’S DISEASE-
A) Medical and family history- The urologist will ask about your medical and family history. Some questions might be:
- When did your symptoms begin?
- Do you feel pain during an erection or at other times?
- Do you have erection problems or problems with sexual intercourse?
- Does anyone in your family have Peyronie’s disease or other medical conditions?
- Are you taking any medicines? If so, what are they?
- Do you have other medical problems or conditions?
B) Physical exam- An urologist can usually feel plaques in the penis whether it is erect or not.
TREATMENT OF PEYRONIE’S DISEASE-
The goal of treatment is to reduce pain, attain a straight or close-to-straight penis, and restore and maintain the ability to have intercourse. Not all men with Peyronie’s disease need treatment. In a very few cases, Peyronie’s disease goes away without treatment.
A) NONSURGICAL TREATMENTS-
Nonsurgical treatments include injections, oral medicines, and medical therapies. They may be used when Peyronie’s disease is in the acute phase.
1) Injections- Injecting a medicine directly into plaques, called intralesional injections, can be done in the acute phase. The injection site is often numbed before the shot. These treatments can be done in the doctor’s office.
- Collagenase- Intralesional collagenase injections (Xiaflex) are currently the only FDA-approved treatment for Peyronie’s disease. Collagenase is an enzyme that helps break down the substances that make up plaques. Breaking down the plaques reduces penile curving and improves erectile function. This treatment is approved for men with penises curving more than 30 degrees.
- Verapamil- Verapamil is used to treat high blood pressure and may reduce penis pain and curving when injected into the plaque.
- Interferon- Interferon is a protein made by white blood cells. Studies show that it reduces pain, penile curving, and plaque size.
2) Oral medicines- There are no oral medicines that effectively treat penile curvature at this time. However, potassium para-aminobenzoate is used to treat Dupuytren’s contracture and may reduce plaque size. It has no effect on penile curving.
If you feel pain, urologist may suggest you take nonsteroidal anti-inflammatory drugs (NSAIDS).
3) Nondrug medical therapies- Other medical therapies to treat Peyronie’s disease are still being studied to see if they work. These therapies include:
- Mechanical traction and vacuum devices—aimed at stretching or bending the penis to reduce curving.
- Shockwave therapy—focused, low-intensity electroshock waves directed at the plaque may be used to reduce pain.
B) SURGICAL TREATMENTS-
In severe cases, it may be possible to treat Peyronie’s disease with surgery.
Surgery may involve:
- removing or cutting away the plaque and attaching a patch of skin or a vein to straighten the penis
- removing an area of the penis opposite the plaque to cancel out the bend (this can lead to a slight shortening of the penis)
- implanting a device to straighten the penis
Some men may develop complications after surgery, and sometimes surgery does not correct some effects of Peyronie’s disease such as the shortening of the penis.
Grafting- In this surgery, your urologist will remove the plaque and replace it with a patch of tissue that was taken from another part of your body, such as skin or a vein from your leg; grown in a laboratory; or from organ donors. This procedure may straighten the penis and restore some length that was lost due to Peyronie’s disease. Some men may experience numbness of the penis and ED after the procedure.
Plication- In plication surgery, your urologist will remove or pinch a piece of the tunica albuginea from the side of the penis opposite the plaque to help straighten the penis. This procedure is less likely to cause numbness or ED. Plication cannot restore the length or girth of the penis and the penis may become shorter.
Device implantation- Penile implants may be considered if a man has both Peyronie’s disease and ED. Urologist implants a device into the penis that can cause an erection. The device may help straighten the penis during an erection.