Peyronie's Disease

Peyronie's disease is the formation of scar tissues in the penis due to injury during intercourse or injury for any other reason. It leads to curvature of the penis. It does not require any treatment if it does not cause pain or any discomfort during intercourse. Treatment of this varies according to the degree of curvature. For small degree curvatures, medication like topical steroid application, etc., is used. Non-surgical options to treat this are shock-wave therapy, penile traction, etc. If the curvature is more surgical, treatment like shortening of the unaffected area, lengthening the side with scar tissue, etc., are done.

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Why do I have pain in the head and base of my penis, four months after an injury during intercourse?

Query: Hello doctor, I had an injury during intercourse four months ago. The injury occurred while it was 80 % erect inside my partner. There was no significant bleeding. But I felt pain at the base and head of my penis. I did an ultrasound and MRI, and it spotted an old trauma. There is pain under the hea...  Read Full »

Dr. Yousef Abbas

Answer: Hello, Welcome to I read everything carefully and had a close look at the file you sent together with your message (attachments removed to protect the patient’s identity). I can see healthy erectile tissue. And the area that you are pointing to seems to be an anatomic variation with...  Read Full »

Why does the lower part of my scrotum become dark and pains when I walk?

Query: Hello doctor, One day when I masturbated, my right testicle went up, and at the same time, I felt a burning sensation in the perineal area. After ejaculation, I felt an intense pain in that area, and from that time, I always have problems walking or ejaculating. The thing that scares me is that the ...  Read Full »

Dr. Arup Majumdar

Answer: Hi, Welcome to Let me tell you that the symptoms described by you suggest that you have vasculitis (inflammation of the blood vessels) which can cause Peyronie's disease. Moreover, it may be due to epididymo-orchitis. In this situation, I suggest non-steroidal anti-inflammatory medica...  Read Full »

How to pull back my tight foreskin?

Query: Hi doctor, I am 18 years old. I am uncircumcised, and my foreskin is not fully retractable. I am struggling to pull it back to expose about 20 % of the head when it is erect. When flaccid, it is easier to pull the skin, and I can get about 40 % to 50 % of the head exposed. My penis has a slight cur...  Read Full »

Dr. Vivek Chail

Answer: Hi, Welcome to I have gone through the attachment (attachment removed to protect patient's identity). No one has a straight penis. Your penis appears normal. However, if the curvature is getting worse and if you want to confirm it, then you can get an ultrasound scan of the penis done...  Read Full »

My penis gets an hourglass shape when flaccid, causing weak blood flow and poor erections. Please help.

Query: Hello doctor, When my penis is flaccid, I get an hourglass-pinching effect. It is quite severe, though, slightly more pronounced on the left side. It is most common when semi-erect, but is also very noticeable when fully flaccid or when I am cold, or holding in urine. It is not only an hourglass sha...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to I read your query and can understand your concern. Peyronie’s disease is fibrosis in a part of the tunica layer around the corpora and that fibrosis usually creates an angulation at full erection to a variable degree. Usually, if this angulation is less than 15 degre...  Read Full »

I Have A Short and Curved Penis. How to Boost My Libido

Query: Hello Doctor,  I have a short and curved penis. The curvature is towards left side. How can I make it straight? I want to increase its length by around 2 inches. How to boost my libido, stamina and erection time without any side effects? Are there any tablets or should I just follow a particula...  Read Full »

Dr. Soni Ravi Mukundkumar

Answer: Hi, Welcome to As you have mentioned you have curved penis towards left side. Curvature of the penis is one of the symptoms of peyronie's disease. But it needs to be corrected by medication or surgery only if you have pain after erection or if you are not able to perform sex...  Read Full »

Is it possible to have a tunica albuginea rupture and be unaware of it?

Query: Hello doctor, If I were to strain or have a small superficial rupture to the tunica albuginea during erection, would I notice this in any way? Will there be any pain or bruising? I have read somewhere that the tunica has no pain nerves. That is why I wonder. There is no pain or abnormality noticed....  Read Full »

Dr. Khant Shahil Ramesh Bhai

Answer: Hello, Welcome to Yes, any rupture of tunica albuginea will cause pain as a minimum sign. It can also cause a bruising ecchymosis but, a pain is a must. Completely ruptured tunica causes a penile fracture. Repeated partial rupture leads to Peyronie's disease. To detect a partial ...  Read Full »

My penis is bent to the side after a long session of masturbation. Please help.

Query: Hello doctor, Recently (within the past month) my fiance had flown back to a different city where she is now currently having to live, and I ended up masturbating for a rather long time about a week after she had left. The time that this lasted for, I would say was anywhere from three to three and a...  Read Full »

Dr. Choudhary Devendra

Answer: Hello, Welcome to Had you taken any erection enhancing drug so that your erection lasted long? It should not be left erect for hours, like four hours and more. The image shared (attachment removed to protect patient identity) is an acceptable shape of the penis. I do not think you sh...  Read Full »

I have mild pain on erection. Can I be developing Peyronie's disease?

Query: Hello doctor,I am a 22-year-old male. I over masturbate sometimes. Generally, I masturbate twice a day. Recently, I noticed mild pain when I had an erection. The pain was in the mid part of my penis. The pain went away as the erection subsided. I masturbated in the prone method, which is lying down ...  Read Full »

Dr. Khant Shahil Ramesh Bhai

Answer: Hello, Welcome to One thing I would like to tell you is that prone masturbation is very bad. This can damage the penis in many ways and you should immediately stop it. Yes, it can cause Peyronie's disease. If possible, send me images so that I can see and suggest appropriately.   Read Full »

Why do I have an hourglass-shaped penis despite taking the tablet Permen for a month?

Query: Hello doctor, I am worried because I have an hourglass penis shape, and I took the tablet Permen for one month to improve my confidence and performance. Please help.  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to Hourglass penis lesion is called Peyronie’s disease and causes angulation of the penis. It needs to be corrected if it causes a deformity in the penis of more than 15 degrees. If it interferes with sexual activity, it needs correction. Assessment is required for Peyr...  Read Full »

Should I be worried about the curvature of my penis?

Query: Hello doctor, I have a curvature towards left in my penis. As far as I can remember, I have it from the beginning. I just want to know if this curvature is normal. Since six months, I have mild pain in the head of the penis. The pain is not constant. It pains now and goes away in some time and the...  Read Full »

Dr. Khant Shahil Ramesh Bhai

Answer: Hello, Welcome to I have seen the images sent by you (attachment removed to protect patient identity). Yes, you have a curvature on the left. It is mild, not severe. If you do not have any problem in sex then there is nothing to worry. Since you have it from the starting, it is called...  Read Full »

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