Implications of the Curved Penis

Most often, the youth thinks there is no solution for his case, or becomes embarrassed to talk about the subject with someone or even his own parents. This is extremely harmful for him and it can compromise his sexual, psychological and professional development, interpersonal relationships, self-esteem, etc.

The adolescent, psychologically shaken up and always thinking about the problem, ends up being unable to concentrate on studying, making friends, practicing sports, etc., and even gets to the point of consuming drugs to get away from the problem, isolating himself from society, developing a feeling of revolt and constantly fighting with family members.

Quite often, he, as well as the young adult, end up avoiding more intimate relationships in order to not expose themselves to their partner. They are unable to maintain long-lasting contact because when they can no longer avoid intimate contact, they prefer to pull away, afraid and/or ashamed the person will become aware of his penile deformity. This explains why many older men have never had sexual relations. The problem of penile curvature is motive for great embarrassment and profound psychological trauma.

There are even cases of youths who, when a colleague demonstrates interest in them, quit their jobs, afraid that if they have relations, everyone will know of their problem, and if they do not correspond to this interest, they will be labeled homosexuals.

In other situations, when they overcome this obstacle and have intimate relations, they seek a dark place and do not allow their partner to touch their penis, thus avoiding perception of the problem.

The participation of parents / pediatricians in the discovery

Congenital curved penis can already be observed in childhood. Parents must observe their son’s penis, for example, when changing his diapers or when taking him to urinate when his bladder is full, when his penis may be erect.

The pediatrician also plays a fundamental role in recognizing curvature during routine visits, because an erection may occur during the examination.

The problem may not be perceived if the curvature is not very accentuated. However, it may worsen in puberty or adolescence, when there is greater body growth, including the penis. In this phase, the youth characteristically has difficulties in exposing the problem.

With regard to the testicles, if the presence of both cannot be ascertained, or if one is larger than the other, it is important to have a doctor take a look.

Addressing the problem

How can you help someone with the problem?

When learning of someone with penile curvature, encourage him to seek out specialized professional help to solve the problem, because the solution is much simpler than you can imagine, and the sooner the patient is treated, the fewer traumas it will cause.

How should the sons approach their parents?

Upon perceiving curvature, like any other type of problem with your penis or testicles, it is fundamental for the youth to try to talk with his parents or relatives he trusts, because they are his best friends. Even if they do not know how to proceed, they can at least guide him and help him find specialized medical help.

It is important to not be afraid and/or ashamed, because this is a much more common problem than you can imagine and the sooner something is done about it, the fewer problems the youth will have in the future.

With regard to the testicles, if the presence of both cannot be ascertained, or if one is larger than the other, it is necessary to have a doctor take a look.

How should the parents approach their sons?

It is indispensable for parents to have a frank and open dialogue and to not be afraid and/or ashamed of talking with their sons regarding sexuality, thus avoiding future problems for the youth.

Upon perceiving penile curvature in your son, address the subject and help him find specialized medical help.

I have the problem. Now what?

We must advise the adolescent or youth to not be ashamed to seek a specialized professional to talk openly about the problem, which is much more common, and whose solution is a much simpler reality than you can imagine.

If you are not self-sufficient to look for help, talk to your parents or a close relative you trust and ask for help, because these are your closest friends and most certainly will know how to respect your situation and will keep it a secret.

Changes in Behavior – Examples of traumatic experiences

Homosexuality

The youth, believing it is impossible to have sexual relations with women, and not knowing his case has a solution, could turn to homosexuality.

There are also cases where he turns to homosexuality because he had a traumatic sexual experience where the woman refused to have relations with him after seeing the curvature, or ridiculed him about his problem, creating aversion towards women.

Drug use

When facing the problem he deems to have no solution, rather than talk to his parents or guardian, the youth turns to drugs as a means of escape.

Thoughts of suicide

Many youths even mention they had thoughts of suicide, because they believed this problem, which is so common, had no solution. In reality, the solution is much simpler than you can imagine.

Social exclusion

In many cases, due to a prior traumatic sexual experience or fear of exposure, the youth prefers to isolate himself from society, pulling away from friends in situations like not corresponding to flirts, which can be interpreted by his friends as homosexual behavior, or avoiding sexual relations and having his partner, after seeing the problem, tell the group of friends, causing even more trauma, frustration, complexes, insecurity, etc.

Revolt or introspection

When facing the problem he deems to have no solution, the youth may become introspective or aggressive, as well as rebellious in the family, school or work environment.

Frustrated sexual experiences

Youth without sexual experience

The inexperienced youth with penile curvature is unable to maintain long-lasting contact with a partner because when he can no longer avoid intimate contact, he prefers to pull away, afraid and/or ashamed the person will become aware of his penile deformity, which is reason for great embarrassment and profound psychological trauma. This explains why many older men have never had sexual relations.

Traumatic sexual experience

When in the man’s first sexual experience, he is ridiculed by the woman because his penis is crooked, he begins to no longer have sexual relations with women, or he tries to hide his problem from his partners, only having relations in very dark locations and not allowing her to touch his penis, afraid she may find out about his problem.

Aggression or aversion towards women

When the man imagines he will be unable to have sexual relations or is a victim of traumatic sexual experience and believes his problem has no solution, he begins to view the woman as a problem in his life, developing aversion for her or even avoiding all contact.

See which is your case

Real cases of penile curvature

Attention: This topic was inserted in the site to illustrate real cases at the request of Internauts. The photos published herein are for illustrative purposes only. Penile curvature may very from one case to the other. Therefore, nothing can substitute an appointment with a specialist.

All of the images contained herein were previously authorized. Nevertheless, the identities of the people have been preserved, keeping the photos anonymous.

If you should feel uncomfortable seeing images (photos) of male sexual organs, do not access the link below.

Click here to access a window with real photos.

The studies and cares for developing this technique have been so precise that specially designed instruments were made to carry out this surgery.

Dr. Paulo Egydio uses this surgical procedure, which is broadly recognized internationally, since 1988, with great success and patient satisfaction, permitting countless youths and adults to have normal sexual performances.

There are cases when the disease itself leads to a reduction in penis elasticity as a whole, one side more than the other.

In these cases, with the use of the previous surgical procedures (reducing the long side until it was the same size as the short one) reduction was even greater. In other words, there was the reduction of the penis as a whole caused by the disease itself as well as the reduction caused by the use of the previous surgical procedures.

The surgical procedure developed by Dr. Paulo Egydio lengthens the short side of the penis, leaving it the size of the long side, recovering penis size lost to the deformity as much as possible by means of a reconstructive surgical procedure for penile curvature.

The advantages of this surgery

» The procedure is simple with minimal discomfort.

» Recovery is quick. The patient is admitted in the morning, operated on that same day and released no later than the next day, and is able to travel that same day. He may also be operated on the weekend, returning to work and/or school on Monday, thus maintaining confidentiality at work and/or school.

» The technique developed by Dr. Paulo Egydio lengthens the short side of the penis, leaving it the size of the long side, recovering penis size lost to the deformity as much as possible by means of a reconstructive surgical procedure for penile curvature.

» Scarring is discrete and similar to phimosis scarring. Dr. Paulo Egydio use transparent and absorbable stitches to close the incision, similar to what is used in plastic surgery, making it unnecessary to remove them.

» When the patient has erectile dysfunction, it can be treated, and if it responds well to medication, only the surgery to correct penile curvature is needed.

» Dr. Paulo Egydio avoids penile prosthesis implants as much as possible. The penile prosthesis is indicated when the patient has erection problems associated with penile curvature that does not respond to conventional clinical treatment or when the pre-surgery exam proves severe vascular problems in the penis.

» In those cases in which prosthesis implants are indicated, Dr. Paulo Egydio has the great differential of correcting penile curvature and implanting the prosthesis during the same surgery. Through his surgical procedure, correction of the curvature will be done permitting the maximum possible recovery of penis size in a reconstructive procedure for curvature. Then, during the same surgery, the prosthesis will be implanted with the largest possible prosthesis size for the case. Prosthesis implants without correction of the curvature with the elongation of the short side of the penis will not permit this gain. This is a great differential, when using the surgical procedure by Dr. Paulo Egydio, recovering penile size as much as possible before prosthesis implantation.

The Anesthesia
Dr. Sidney Luiz Stabile Jr. - Anesthetist

The anesthesia begins with the pre-anesthetic preparation in which the surgeon or anesthetist conducts a study to learn of the patient’s health, associated illnesses and medical history, and whenever necessary requests complementary exams or appointment with other specialists to schedule and carry out the most appropriate anesthesia.

It is important to know that the more you know about the patient’s health, the better the surgery and anesthesia results will be. As in any medical specialty, anesthesia is also not exempt from possible complications. However, at present, with the development of new anesthetic techniques, safer drugs and more efficient monitors, anesthesia is safer and incidents involving complications very low. The patient can minimize possible complications by controlling pre-existing illnesses and having periodic check-ups.

On the day of the surgery, the patient receives a doctor visit before going to the surgical center to explain any possible doubts and to receive pre-anesthetic medication, which is comprised of tranquilizers to comfort him and reduce any anxiety. A few minutes after taking the pre-anesthetic medication, he sleeps and is then taken to the surgical center. He will not even remember the preparations that precede the beginning of surgery.

Penile surgery can normally be performed with sedation and local anesthesia. After the patient is adequately sedated and sleeping, local anesthesia is administered where the surgery will be performed. With the continuous administration of anesthetics and sedatives, he remains sleeping and without pain throughout the surgery, regardless of its duration.
In isolated cases, general anesthesia can also be used, keeping him sedated and in deeper sleep.

Regardless of the anesthetic technique, at the end of the surgery, the patient wakes up and is forwarded to the post-anesthetic recovery room where he will be monitored for a period of time, normally about 30 minutes, and then sent to his bed.

Penile surgeries are not very painful during the post-surgical phase and common analgesics, like: Novalgina, Lisador or Tylenol, are sufficient to control pain, always remembering that if other, more potent analgesics are necessary, they may be used.

When he gets back to his hospital bed, the patient can eat and ingest liquids according to his wishes, as well as sit on the bed, read or watch television.

Psychological Aspects

Throughout history, the penis has not only represented the male sexual organ, but it is also the symbol of power, virility and pleasure. In many cultures, such as ancient Greece, for example, it was venerated, playing a core role in initiation ceremonies for adult life or a new life.

Therefore, it is not surprising that deformities or malformations should also profoundly alter basic emotional experiences in man, such as his sensuality and the sexual act itself.

Shame of one’s body and the impossibility to normally experience these feelings and sensations can lead the individual to chronic anxiety, generating great stress, extending to areas that are not directly connected to sexuality, disturbing the individual at work, in social relationships and even in overcoming small everyday problems.

Without the appropriate treatment, greater irritability, negative feelings, low self-esteem, compromising of the quality of life and social isolation can also appear and worsen over time.

Surgical and psychological interventions are very important in order to recover self-esteem and the necessary energy to experience relationships in the healthiest and most pleasure-filled manner, with quality of life, with oneself and with others.

With Dr. Paulo Egydio’s team, the patient is treated as a whole until his recovery and reintegration. For such, it counts on excellent professionals in Psychology, if necessary.

Confidentiality

Dr. Paulo Egydio takes special care in maintaining confidentiality, the reason for which he makes a point of consulting with and operating on each patient.

He takes the same care in choosing his highly qualified team, which is also geared towards confidentiality.

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. It is not necessary for anyone at work, school or college to know about anything.

Discretion and privacy are fundamental at this moment.

Genital Reoperations / Reconstructions

With his broad experience, Dr. Paulo Egydio has been a reference in complicated cases, and together with his team, he has achieved excellent results in penile reconstruction surgeries.

Using principles of plastic surgery and microsurgery, tissues can be transferred for genital reconstruction. Testicle prosthesis and removal of excess fat that surrounds the penis can also be used concomitantly.

Examples of reoperations:

» Penile prosthesis

» Penile deformities

» Ugly phimosis scars

» Urethral deformities

» Removal of nodules from the penis or scrotum

» Reconstruction of the penis junction with the pubis and/or the penis with the scrotum

» Removal of the scrotum’s high fold in the penis, giving the appearance of a larger penis (the patient may have undergone phimosis surgery where too much skin was removed, causing the pulling back of the scrotum fold, which results in what is called “turkey neck” or he may have been born with this deformity).

Examples of reconstructions:

» Vasectomy reversal

» Embedded penis

» Micro penis

» Absent scrotum

» Scrotum reduction

» Loss of scrotum by accident

» Implant of testicle prosthesis

» Excess hair on the penis

» Excess skin on the tip of the penis

» Phimosis

» Correction of the scrotum surrounding the penis (scrotalization)