Penile distortion can be congenital. More often it is a disease that occurs later in life, and the cause is hard fibrosis deposits in the bed of the penile envelope. In doing so, its stretchability is reduced and when erected there is a deformation to the side on which the deposit is located. In a small number of cases, deposits affect the inside of the penis (the so-called cavernous body) which results in its weaker blood circulation. For this reason, some patients indicate a weaker erection or insufficient stiffness of the penis under the place where the change is located.
The etiology of this disease is not clear, and in patients a number of predisposing factors can be found such as alcoholism and diabetes. In a certain number of patients, we find parallel and shortening of the tendon in the palm of the hand, which leads to the inability to completely straighten the finger (most often the fourth finger – the so-called Dipitren contracture). Medication therapy is not simple, nor too successful. The list of medicines that have been in use or are still in use is long, and they all have a common long-term treatment.
More recently, better success and disappearance of deposits has been achieved with months of applications verapamil or Tamoxifen. In cases where the deformation is strong, so sexual intercourse is difficult or impossible, and the therapy carried out did not lead to the desired effect, it is necessary to do corrective surgery.
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