“Over the last number of months, I have noticed a curve in my husband’s penis. I asked him about it and naturally enough, he was a little dismissive. Needless to say, he’s not enthusiastic about seeing a GP, but I’m concerned by the fact it wasn’t there before . It isn’t impacting intimacy, but I would have questions about fertility. Can you help me shed some light?”It is rather common for a man’s penis to curve slightly, whether it be an acquired or congenital issue.
It is important to clarify at the outset that penile curvature itself is not directly associated with sperm functional parameters. However, if a curve is significant enough to prevent sexual intercourse or affect ability to achieve orgasm, this clearly does have implications. Peyronie’s is more common than we think, with upwards of 8% of men affected. In this condition, a fibrous scar, also known as a plaque, forms under the skin anywhere on the penis. It is initially painful in the acute phase with a worsening bend, and then settles into a stable phase with resolution of pain and stability of the curve, a process that can take upwards of 18 months.
Peyronie’s in its most severe form can cause penile curvatures greater than 90 degrees and thus prevents men from engaging in penetrative intercourse. It also is associated with venous leak erectile dysfunction.
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