Correction of Curved Penis
Penile curvature is a common problem, where the erect penis is bent to a side. When the bend is more than thirty degrees, it commonly prevents a normal sexual relationship and causes pain in the female partner, despite good erection. Surgery is necessary in such cases.
The penis may be bent or curved due to inborn congenital abnormalities or an acquired fibrotic disorder. Fibrosis is the deposition of inelastic tissues, usually to rebuild and bridge a gap at the site of injury.
Fibrous tissue in the penis leads to shortening, curvature and loss of erection in some cases, being inelastic and being deposited where blood should flow to fill up the penis (Peyronie's Disease).
Surgical treatment of curvature usually causes shortening of penis. This is because the classic techniques rely on shortening the longer side of the penis. To understand this concept, refer to the diagram herein that shows a curved penis with a shorter lower border and a longer upper border. Whatever the direction of curvature is, there is always a longer side and a shorter side. Surgery relies on shortening the longer side.
An alternative is elongation of the shorted side by inserting tissues into this aspect of the penis to widen it (grafting). Unfortunately, this causes impotence in many cases.
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Another totally separate entity is "Penile drop", where the penis is straight but points downwards in the erect state.
This is easily and totally correctable either by anchoring the base of the penis backwards to the anterior abdominal wall at a higher position. The Penis is normally attached to the pelvis by a ligament (the suspensory ligament), that determines its angle upwards or downwards. Laxity of this ligament whether inborn or due to trauma can be corrected by one or two sutures placed between the base of the penis and the anterior abdominal wall.
This is a 20-minute surgery and the individual is discharged from the hospital the same day and allowed to resume intercourse one week later.
Professor Shaeer is one of the very few experts who have published scientific manuscripts in this domain.
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Penile torsion is a condition when the penis is rotated along its longitudinal axis such that its undersurface is facing sideways or even upwards. Torsion is either clock-wise or counter-clockwise.
The condition can be congenital (inborn, life-long) without an apparent cause, or could be acquired due to surgical complications, fibrosis, Peyronie's disease or trauma.
Torsion of the penis will not affect sexual performance or fertility in any way. Its only down-side is cosmetic.
Surgical correction is possible if cosmetic complaints are pressing. Surgery lasts for around 20 minutes with the focus of restoring the normal shape of the erect penis primarily, and usually -but not necessarily- the flaccid penis as well.
Prof.Shaeer invented a surgical technique for this purpose. The external covering of the penis is composed of skin and an underlying sheet of muscle (the Dartos fascia). This Dartos fascia is dissected and sutured to the opposite side of the penis such that it rotates the penis towards the desired side.
Another technique is de-gloving the penis (cutting an incision under the glans penis and bringing the skin downwards towards the base of the penis), then re-gloving the penis with the skin rotated slightly towards the direction of rotation (clockwise or counter-clockwise) such that when it (the skin) recoils, it rotates the penis to the opposite direction, thereby correcting torsion.