Is It Possible to Fix Your Bent Penis?

Some of the male population (1-4%) is affected by Peyronie's Disease, often called Bent Nail Syndrome. This is when there is a slight bend or curve in the penis when erect. (A bent penis looks like a bent nail, hence the name.) This site has more information for you.

Now, many men have a very slight bend in the penis. That is called "congenital curvature" and just seems to be the nature of the penis. However, Bent Nail Syndrome is something different and more complex.

What happens is fibrous plaque (hard tissue, much like scar tissue) forms in the soft tissue of the penis. Then when the penis gets erect, this tissue does not change. That basically binds the penis and causes it to curve in one direction, most commonly up and back (but it could also be left, right, forward, or back.)

The Basics of Peyronie's Disease

Peyronie's Disease is a medical condition among men in which there is a plaque formation under the skin of the penis particularly in the tunica albuginea. The plaque is a hardened scar tissue which usually results to pain and bending of the penis when erection occurs. It may also lead to indentations or penile shortening. Some cases of men with Peyronie's Disease are reported to have painful intercourse or impossible at all.

This article discusses the different options for treating Peyronie's Disease.

Medications for Peyronie's Disease

Vitamin E - this is an anti-oxidant that is also proven beneficial for treating scars. It has been used as a medical treatment for Peyronie's Disease for almost 71 years now.

Colchicine - for years, this drug is helpful in curing gout. The action of this drug is effective against inflammation. It prohibits or intervenes the formation of scar tissue.

Verapamil - commonly, this is injected directly into the plaque. It also prohibits the formation of the precursors of the scar tissue (plaque).

Potaba - also called potassium para amino benzoate. It is formulated by the FDA as "possibly effective." However, large doses are needed to be effective but they can possibly cause intestinal irritation.

Collagenase - this drug is still under investigation. It somehow digests scar with the use of enzymes.

Acetyl L Carnitine - The amino acid acetyl l carnitine. Can be purchased as a supplement, which is also used to treat fibromyalgia. Sometimes just L-Carnitine, but you want the full Acetyl L Carnitine (ALC) form. seems to be more effective than a drug called tamoxifen for reducing pain and slowing worsening of the condition. I have seen a recommended dose of 1g, twice daily.

Surgery for Peyronie's Disease

There are four criteria for a person to be a good candidate for surgery. The first is the severity of the condition. The deformity or bending of the penis should be severe enough that it can interfere with sexual function in order to perform an operation. The next criterion is that spontaneous or natural healing should be given time in the length of 12 months from the time of onset before operation can be opted. In the third criterion, however, medication therapy should be given opportunity to resolve the problem first. Surgery should be the last option after all. Finally, no man should undergo operation when his condition (with Peyronie's Disease) is altering, whichever for the better or worse because the best surgical result goes to men with unchanging or unfaltering condition with the disease.

However, every surgery has its own risk and the surgery for Peyronie's Disease is no exemption. It does not give a guarantee that the disease will be cured. Those men who are qualified to undergo the operation (those who passed the four criteria) have suffered severe deformity which means there is already an irreversible loss of the elasticity of the connective tissue.

Yes, the surgery can be reliable, but any person who opts to undergo it should have enough knowledge of the consequences. Elasticity or extensibility that is lost because of the disease can lessen the length of erection and post operative alterations are not different at all. To be clear, a surgical operation cannot perfectly put back the penis to the original length or condition. Some operations can reduce the length of the penis more and some are more helpful in straightening the bend. Surgery can also affect the skin sensation because of the location of the penile sensory nerves. However, permanent loss of sensation is only rare. Lastly, the risk related to surgery is when it disturbs the flow of blood; it can lessen the hardness during erection and may also result to impotence.

The following are the surgical options for Peyronie's Disease:

1. Nesbit Procedure - this corrects the bend by gathering the outer area of the bend called the convex. The procedure counteracts the relative shortening of tunica albuginea on the concave side resulting to straightening of the penis. It can reduce the length of the penis a little bit. This procedure remains to be the first option for moderate bend without diameter reduction associated.

2. Tissue Grafts - this includes replacing or expanding the scarred tunica albuginea with the grafts of healthy tissue taken from another part. In the past, grafts were employed for the repair of the defect caused by the excision the plaque. These days, surgeons are using the grafts effectively to expand the plaque without making an excision. This new method is less likely to affect erectile function and has a less chance to result to impotence postoperatively. This method is still the most flexible reconstructive procedure especially to correct severe bending.

3. Implant Surgery - This was the first choice for men with Peyronie's who had some problem with erection. Biocompatible plastic cylinders are surgically implanted into the corpora cavernosum. But due to the advent of breakthroughs in the treatment of this disease, this method is seldom employed.