Fix Penis Curvature

How to straighten curvature of penis

For most, the main focus of Peyronie’s disease treatment is primarily to fix penis curvature or whatever distortion might exist.  However, this is not the best goal to have when you want to get fix your bent or curved penis.

The primary goal of Peyronies treatment should be elimination of the internal scar (Peyronie’s plaque material) that causes a curved penis to develop in the first place – not to fix penis curvature.  Although the most obvious aspect of Peyronie’s disease is the curved penis, it is not the actual problem.  Using penile curvature to determine success of any Peyronie’s disease treatment is unwise and counter-productive since it is not the real problem.

Healthy internal tissue of the penis is able to fill, trap and expand as blood enters it for a normal erection to develop. In Peyronie's disease one or more areas of a layer of tissue known as the tunica albuginea develop a dense and inelastic fibrous scar tissue or Peyronie’s plaque.  During a normal erection the slightly elastic tunica albuginea will stretch and expand evenly in all directions.  But when a man has Peyronies disease expansion is limited because the tunica albuginea contains fibrous tissue, resulting in a curved penis.

Peyronie’s disease usually begins as a small internal nodule or band of fibrous tissue on the top or sides of the penis, within the tunica albuginea.  A few weeks to a year later, this fibrous nodule can develop into a larger irregular plaque of variable size, shape, density and surface quality.  The Peyronie’s plaque can be as long as the penis and sometimes surrounds the penis, creating an hourglass indentation around the shaft. Some are one large mass, while others are small isolated islands of fibrous tissue in many areas. Scars can be so soft and small, with edges so tapered and vague, that no scar can be found.  When no Peyronie’s plaque or scar can be found it is assumed to exist when a curved penis develops during erection.

Peyronie’s disease causes penile curvature because the inflexible fibrous tissue of the Peyronie plaque prevents incomplete filling as an erection develops or by pulling unevenly on those same internal tissues.  The location and degree to which this poor filling and internal tug-of-war takes place is different from man to man, and so the bends and distortions are also different.  At times a small internal scar can cause a great amount of distortion and poor erection quality, just as a large scar can cause very little problem.  In other words, the scar size does not determine the degree of problem that is observed.  Sometimes as a Peyronie’s plaque or scar increases or decreases, the distortion can get either better or worse; many times the degree of penile curvature does not indicate the severity of the Peyronies plaque or the success of Peyronies disease treatment.  For this reason, the true measurement of success of Peyronies treatment should be determined by the reduction of the Peyronies plaque or scar.  Once the fibrous plaque material reduces in size, shape, density or surface quality, only then can improvement of the curved penis or reduced erection strength be expected in time.

Fix penis distortion by treating the Peyronie’s plaque

A curved penis that suddenly appears one day might be difficult to ignore, but it is only a symptom of the real problem of Peyronie’s disease that lies below the surface – the fibrous scar in the tunica albuginea.  Without that Peyronies scar there would be no curved penis; because it is the cause of the distortion it should be the only way that treatment success is determined.

Evaluating progress of a Peyronie's therapy plan can be difficult, if not impossible, if only paying attention to a curved penis.  A small scar – or a scar that is getting smaller – can cause a large penis curvature.  A large scar – or a scar that is getting larger – can cause no bend at all if it is balanced by other scars that are applying a symmetrical force.  Making matters more complicated, a man can have many more scars than he can locate because the often overlap.  Thus, it happens that a curved penis can worsen as the scar is actually being reduced or eliminated.

When only one scar is present the curvature problem is direct and easy to understand, although this is uncommon.  More commonly multiple scars cause internal pulling and twisting that create complicated distortions that can worsen as the scars become smaller.   Several scars can interact on many planes of internal penile tissue.   Any significant reduction in one or more scar will alter the internal tension on the tissues, resulting in an altered curvature.  Because there is no guarantee the curvature will improve initially, I advise to focus all attention to the size, shape, density and surface qualities of the scar while treatment of the Peyronies problem continues.  Realize the curved penis is just a reflection of Peyronie’s plaque structure below the surface.

Do not be discouraged as you try to fix the penis curvature related to Peyronie’s disease.  Instead, look for changes in the size, shape, density and surface qualities as you continue your Peyronie’s disease treatment.

Dr.Herazy

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