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Every penis is bit bent and a slight bend upwards is not just normal but desirable.
You may have a problem if your penis is bent to the left or right so much as to make it difficult or even painful to enter your partner during sex. It could be condition called Peyronie's. This is not an Italian beer. Bent willies are very common and generally do not cause any problem with intercourse. It's a matter of finding what fits, so to speak. If the 'bend' is particularly bad, surgery can improve matters.
A condition in which the penis becomes curved during an erection.
There is no firm evidence on the number of men with Peyronie's Disease but it is thought to affect 1 to 9% of men.
N.B. The lumps in Peyronie's disease are benign and not linked to cancer of the penis. Nor is it caused by sexually transmitted infections, such as gonorrhoea.
Doctors are not entirely certain what causes Peyronie's disease. Many experts believe it is the result of damage to the penis, causing internal bleeding. There is some evidence that the elasticity of the penile tissues is reduced in older men and that minor damage may occur (without any obvious outward signs) during sexual intercourse. Some cases may be caused simply by turning over in bed while asleep with a nocturnal erection.
In mild cases the plaque does not advance beyond an initial inflammatory stage, but in severe cases tough fibrous tissue develops and calcium deposits may even build up.
While injury may cause some cases of Peyronie's disease, most cases develop slowly and after no apparent trauma.
Severe hypospadias, where the opening of the urethra is on the wrong part of the penis, can also cause curvature of the penis. This condition is different from Peyronie's disease, however.
You can't, except perhaps by avoiding sexual acts which might damage or over-stretch the penis.
If you notice lumps in your penis, you should go straight to your GP. There is no need to worry about having an examination: it may be embarrassing, but doctors are very familiar with Peyronie's disease. They can also rule out any other possible causes.
If you have only had the problem for a short time the doctor may ask you to come back in a month or so if the problem persists. But if you are in pain, or if the condition is affecting your sex life and relationship, insist on a referral to a consultant or to another GP with a special interest in sexual problems. There are also special NHS clinics to treat male sexual problems.
You will need to have a physical examination. No medical tests are usually necessary.
Surgery is the only treatment known to be effective. However, many men with Peyronie's disease need no treatment, because in its mild form the condition heals by itself in 6—15 months. Many doctors therefore suggest that men wait one to two years before having surgery. At the end of this period there may be a residual curvature of the penis but, if intercourse is possible without pain, no further treatment is usually required.
Prior to surgery some men try other treatments, as listed below, but their effectiveness is unproven.
About 10% of men have surgery. It's not usually considered unless you have been affected for a year and have difficulties performing sexual intercourse.
There are three operations available:
If the disease is affecting your sex life this may in turn damage your self-esteem and perhaps cause depression. It could also affect your relationship with a partner. You may find it helpful to talk your feelings through with your partner or with a counsellor experienced in sexual problems.
Many men with Peyronie's disease will only be mildly affected and the condition will disappear with time. In severe cases surgery can correct the problem but you may be left with a shorter penis or it may not be as hard when erect. Although this may not prevent you from having sex it may still cause some anxiety. Counselling and discussing the situation with your partner can help.
The Sexual Advice Association provide information and advice on all sexual dysfunctions
Tel: 0870 774357
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Date of last review 03/04/14
Date of next review 03/04/17