Can premature ejaculation be associated with penile curvature?

When is surgery indicated for correcting penile curvature?

Dr. Paulo Egydio reserves surgical treatment only in cases when clinical treatment does not achieve satisfactory results. Statistically, of all the patients who develop the problem, only 30% will need corrective surgery.

The success rate for penile (curvature) deformity correction is directly tied to a good diagnosis, with an evaluation of the problem in every dimension. Doctor experience in the subject is of utmost importance in order to have the best diagnosis as well as to indicate and carry out the best treatment.

Is shock wave treatment efficient in correcting penile curvature?

According to world scientific experience, after evaluating 17 important international studies on the theme published in renowned and specialized international medical journals, this treatment has not proven efficient. And this can be seen in the links below:

Can Peyronie Disease lead to premature ejaculation?

Yes, due to the anxiety the disease creates in the patient, pain during erections or penis deformity. In many cases, correcting the curvature solve this problem. If premature ejaculation is not associated to Peyronie Disease, there is treatment. Evaluation is fundamental!

Do penis exercises and the use of devices and medications I found on the Internet and promise results correct penile curvature?

I recommend not using exercises, devices and medications that claim to be miraculous without doctor guidance and follow-up to avoid worsening of the curvature and even greater problems. Do not be a victim of advertising appeals.

I have received patients with penis trauma caused by exercises and/or devices bought over the Internet that promised many results.

What is the position of greatest risk for penile trauma?

These would be the positions where the partner is active in the sexual relation because the penis is predisposed to trauma. When the man is active, he voluntarily controls the range of movement, and the penis will rarely hit against the perineum upon exiting from the vagina during the sex act, leading to trauma.

Does pain during erection improve with treatment?

Yes, soon after the inflammatory phase.

Curvature tends to be progressive and can worsen as the illness develops. When curvature has not worsened or improved for at least 6 months, it should not get any worse unless there is another episode of Peyronie.

Yes, when there is pain during erection, even without curvature, it may be Peyronie disease. Evaluation is fundamental. In some cases, curvature does not develop, but rather a thinning of the penis.

Yes. Penetration can be facilitated with the help of the hand, but the partner may feel discomfort during relations. For that reason, dialogue and complicity are very important so the partner can report if it is causing discomfort and/or pain. In many cases, the partner feels embarrassed and avoids saying anything to avoid frustrating the patient. It is also necessary to be very careful, depending on the degree of curvature, because forcing the penis during relations may cause trauma that can further aggravate the problem, leading to a spreading of Peyronie and even more serious trauma to the penis. If there is difficulty in penetration, forcing the penis during relations, it is fundamental to have a detailed exam as soon as possible.

It may if curvature is much accentuated.

It is possible to get it more than once, which is why it is very important to prevent traumas thus avoiding any recurrence of the disease. Evaluation is fundamental.

During the inflammatory phase of the disease, try clinical treatment. A detailed exam is fundamental to define the best treatment.

What percentage of men develop the disease?

In the American book on Peyronie’s Disease, where Dr. Paulo was invited and wrote a chapter about correcting the disease, statistics have shown that approximately 10% of all adult men will develop the disease.

When should I look for a specialist?

The patient should look for a specialist immediately, at the outset of symptoms, because when treatment begins while still in the inflammatory phase, the chance of formation of scar tissue is reduced, the results are better, and surgery may be avoided.

In the event of trauma to the penis during sexual relations, should I seek a specialist?

In cases of more serious trauma, when there is a snap and the penis swells immediately due to the breaking of the albugineous tunic, popularly known as penile fracture, seek an emergency room immediately.

In cases of trauma without swelling and immediate bruising, however with pain in erections after the trauma, early medical follow-up is important, because it is during this phase that the best results are achieved, using only clinical treatment.

Is it possible to correct a curved penis? What about size after correction?

The objective of treating penile curvature is to restore and maintain sexual functions. The doctor must be aware that the man with penile curvature is under great anxiety and apprehension.

When the penis curves, it gets smaller in size. This reduction will be even more accentuated the greater the curvature.

Previous surgical techniques led to a shortening of the penis, because the long side of the penis was reduced, leaving it the size of the short side.

The surgical procedure developed by Dr. Paulo Egydio (internationally know as “Egydio’s Procedure”) lengthens the short side of the penis, leaving it the size of the long side, recovering penis size as much as possible by means of a surgical procedure.

It is possible to make the correction using local anesthesia and sedation (to sleep during the procedure), with the possibility of being released from the hospital on the same day. The return to normal activities (work and/or study), except physical activities, in most cases has been possible in 1 to 2 days.

The post-operative phase is easy with common analgesics. It is necessary to wait 6 weeks (one and a half months) to resume sexual relations.

How do I know if my penile curvature needs treatment?

If penile curvature is disturbing you from a physical (difficulty or impossibility to penetrate; ease in bending and slipping out of the vagina; causes discomfort in your partner; jeopardizes the sexual act or its quality) and/or psychological (avoid relationships; embarrassed about the penis’ appearance; fear and/or shame about what the partner will think; fear of frustration in the relationship; fear of not being able to carry out the sexual relationship; sexual relations in the dark so the partner does not notice the problem; fear and/or shame the partner may tell her friends; etc.) point-of-view, it is fundamental to be examined.

The success rate for penile curvature correction is directly tied to a good diagnosis, with an evaluation of the problem in every dimension. Doctor experience in the subject is of utmost importance in order to have the best diagnosis as well as to indicate and carry out the best treatment.

Do traction devices (Penis Extenders) correct penile curvature?

I recommend not using devices without doctor guidance and follow-up to avoid worsening of the curvature and even greater problems. Do not be a victim of advertising appeals.

Discussions on the theme at the largest and best world medical congresses and in the opinion of the vast majority of experienced professionals reveal unsatisfactory results for penile curvature correction using traction devices (penis extenders).

Can phimosis (difficulty in exposing the “head of the penis” or the formation of a “ring”) and/or a short frenum be responsible for penile curvature? Can the surgery to correct these problems also correct curvature?

Penile curvature occurs because a membrane (tunic) with less elasticity than it should have causes it to draw back.

The skin of the penis is rarely a determining factor for curvature, especially since it has great elasticity.

In the congenital curved penis (curvature in youths), curvature in the downwards and/or lateral curvature is observed with greater frequency, often leading to the interpretation that the frenum is the reason for the curvature, which generally is not true.

Therefore, we can say that a surgery only to correct phimosis and/or release the frenum will rarely correct the curvature problem, which can be proven during surgery when the non-correction of the penis can be observed by means of an induced erection using a normal saline solution or medication.

The success rate for penile curvature correction is directly tied to a good diagnosis, with an evaluation of the problem in every dimension. Doctor experience in the subject is of utmost importance in order to have the best diagnosis as well as to indicate and carry out the best treatment.

Do penis exercises and the use of devices and medications I found on the Internet and promise results correct penile curvature?

I recommend not using exercises, devices and medications that claim to be miraculous without doctor guidance and follow-up to avoid worsening of the curvature and even greater problems. Do not be a victim of advertising appeals.

I have received patients with penis trauma caused by exercises and/or devices bought over the Internet that promised many results.

Can penile curvature in youths facilitate the occurrence of trauma that also leads to Peyronie Disease (acquired curvature)?

Yes, there are cases in which a person who has a youth’s curved penis (congenital curvature), and due to their predisposition to traumas because of the curvature itself, which easily slips out of the vagina, bending and forcing the penis during sexual relations and also, in many cases, associated with an inappropriate erection due to the psychological aspect this problem involves, also ends up developing Peyronie disease.

I have penile curvature and since I still do not have the conditions to solve this problem on my own, I don’t know how to tell my parents. How can I talk to them about this?

I recommend showing the site (www.centrodecurvaturapeniana.com.br) to your parents so they understand your problem and can help you solve it.

Regardless of how different our parents’ way of thinking may be from our own (differences in how we were raised, of generations, life experiences, etc.), they are our true friends, in any situation, in both good and bad times. No one wants us to be well more than our parents.

With all our experience over these years, and the countless cases in which our patients did this, their parents were able to understand the problem and helped their sons’ solve it. I even have countless cases of patients who didn’t get along very well with their parents, and after this, they became closer friends and confidants, with much better family relationships.

Can premature ejaculation be associated with penile curvature?

Yes, it can be associated with curvature due to the anxiety it causes. In many cases, correcting the curvature solves this problem. If it is not associated with curvature, there is treatment and evaluation is fundamental.

Is it possible to correct a curved penis? What about size after correction?

The objective of treating penile curvature is to restore and maintain sexual function. The doctor must be aware that the man with penile curvature has great anxiety and apprehension.

With penile curvature, there is a long side and a short side.

Previous surgical procedures reduced the penis, because it reduces the long side of the penis, leaving it the size of the short side.

The surgical procedure developed by Dr. Paulo Egydio (internationally known as Egydio’s Procedure) lengthens the short side of the penis, leaving it the size of the long side, obtaining maximum recovery of penis size in a surgical procedure.

It is possible to make the correction using local anesthesia and sedation (to sleep during the procedure), with the possibility of being released from the hospital on the same day. The return to normal activities (work and/or study), except physical activities, in most cases has been possible in 1 to 2 days.

The post-operative phase is easily handled with common analgesics. It is necessary to wait 6 weeks (one and a half month) to resume sexual relations.

Question: I have had a curved penis problem since I was little. My first sexual relation was a disappointment. So I looked for a urologist, who operated on me. I still feel the stitches under my skin and they cause a lot of pain. My penis got smaller after the surgery. I had the surgery two more times, because the first time, the stitches broke after two months and my penis curved again. The stitches at the base of the penis still hurt. Is that normal after so many years?

Answer: It is possible to correct curvature by lengthening the short side or shortening the long side. In your case, the procedure probably involved shortening the long side with non-absorbable stitches (that do not disappear over time). Apparently, everything is okay after the second surgery except the stitches are bothering you. In some cases where these stitches continue bothering the patient, I have operated on them again and removed these stitches. I only use absorbable stitches (that disappear over time) in penile surgeries in order to avoid this sort of problem. I have reoperated on many patients when the stitches were bothersome.