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Is an hour-glass shaped penis a matter of concern?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 24-year-old male. I have noticed that my penis gets really narrow in the middle like an hourglass and bends in a weird way when half erect or in the process of getting erect. It gets completely normal when fully erect though and there is no pain. This happens once every few days. Should I be worried? I have tried searching online and the closest result is Peyronie's. However, in Peyronie's the erect penis gets the hourglass shape with pain but in my case erections are just fine. Any help would be greatly appreciated as I am quite worried.
Answered by Dr. Samer Sameer Juma Ali Altawil

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

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Hi,

Welcome to icliniq.com.

After reviewing your history, it seems to me Peyronie’s disease but I need pictures (flaccid, partial, and complete erection) from you to confirm it. Presentation is secondary to fibrosis in tunica Albuginea causing curvature of penis on erection to variable degrees. It starts with inflammation and pain but will stabilize and become painless with time over approximately six months. Its causing factors are not exactly known but related to microvascular injury and healing with fibrosis is more common in diabetics and might be secondary to autoimmune diseases. Diagnosis is made purely on clinical grounds by history examination and pictures. Treatment ranges from medications to local injections to surgery which is reserved for significant deformity and curvature. I would be grateful to further diagnose and follow up on you. Please send me pictures to support the diagnosis before I make a strategy for your treatment.

Investigations to be done

Provide pictures.
Medically reviewed by Dr. Vinodhini J.
Published At June 11, 2020
Reviewed At June 14, 2024

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Samer Sameer Juma Ali Altawil
Dr. Samer Sameer Juma Ali Altawil

Urology

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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