When the penis is erect, it is slightly bent, which is called penile curvature. The situation of penile curvature is very complicated. Some slight curvature is normal. In this case, it just bends slightly downward during erection. There is no need to worry about it, and it will not affect normal sexual life. Some penile curvatures need treatment. This is what we need to be clear about, and we also need to know the cause of the occurrence. Cause The inside of the penis is composed of three parallel, long cylindrical corpora cavernosa. The two side by side on the dorsal side are the penile corpora cavernosa, and the other one on the ventral side, with the urethra passing through it, is called the urethral corpus cavernosum. In daily life, men generally do not pay attention to the care and maintenance of "penile curvature", a common symptom among men. In sexual psychology consultation, it is not uncommon to see men who are troubled by penile curvature. In fact, most of them have physiological curvature, not pathological curvature. Normally the penis is in a flaccid state. When sexually excited, the sinus vascular muscles in the corpus cavernosum relax and a large amount of blood flows into the sinus cavernosum. When the flow reaches a certain level, the elastic white membrane covering the corpus cavernosum of the penis will fully expand, and then it will become a hard columnar body, supporting the penis to stand upright. The key is the elastic fibers between the two sides of the penis cavernous body. When they are pulled to the extreme, the penis is fully erect. Because the urethral cavernous body is correspondingly engorged and expanded, the penis is generally slightly bent downward when it is erect, and it is only hard and straight after it is fully erect. However, under normal conditions, the penis is not fully erect. It will only be fully erect in the short few seconds before reaching orgasm. A slight bend or twist is also within the normal range, so there is no need to worry too much. Of course, there are also very few cases of pathological bends. Symptoms Common symptoms that cause penile curvature include the following: 1. Abnormal development of the corpora cavernosa of the penis. The two corpora cavernosa of the penis are asymmetrical, and the penis will bend to one side during erection. If the bend is not severe, there is no pain or discomfort during erection, and it does not affect sexual life, no special treatment is required. 2. Congenital malformations such as epispadias or hypospadias. The urethral opening of these patients is not in the middle of the glans penis, but in the coronal sulcus of the penis, the penis shaft, or even near the scrotum. The damaged urethra is replaced by the tissue of the fibrous band. When the penis is erect, it is pulled by the fibrous band, resulting in bending, which requires surgical correction. 3. Penile curvature can also be caused by diseases such as penile injury or fibrous cavernosum, penile sclerosis, etc. The angle of pathological curvature is generally large, and it bends upward, downward, or to the left or right. It is generally believed that if the upward curvature angle of the penis after erection is less than 40°, and the downward curvature angle or the left or right curvature angle is less than 30°, and the sexual life is satisfactory, no treatment is required. If the curvature angle is large, you should go to the urology department or the andrology department for diagnosis and treatment. In fact, many healthy and normal men have their penises slightly bent sideways or up and down during erection, but it is not serious. Many growing boys will find that their penises bend at various angles during erection, which can cause embarrassment and shyness in a grown boy, and even make him introverted and afraid to have a girlfriend, thinking that he will never be able to have normal sexual relationships or sexual life in his life. In fact, the medical name for penile curvature is "abnormality of the corpus cavernosum albuginea of the penis", which means that some parts have more tunica albuginea, so the penis is pulled to the other side. For example, if the corpus cavernosum albuginea on the right side is more, the penis will bend to the left. Why is this so? Some people assume that it is because of wearing too tight pants during adolescence or the penis is abnormally bent for too long; however, there is no actual basis. Clinically, there are no scars or lumps in the corpus cavernosum albuginea of the penis, and there is no abnormality in normal times. Only when the penis is erect can it be found that there are varying degrees of curvature. The angle and direction of the bend must be observed by injecting drugs into the penis to make it erect or by asking the patient to use a Polaroid camera to take pictures of the penis at various erection angles at home to make a final diagnosis on whether surgery is necessary. |
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