Erection is curved
when one of the walls of corpus cavernosum is
shorter than the opposite wall. This anomaly is
the result of a congenital malformation or a
sclerosis of the corpus cavernosum.
Curved erection makes sometimes the sexual
penetration impossible.
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CONGENITAL
CURVED ERECTION
Congenital
curved erection is the consequence of a
malformation of the penis. When the
dorsal side of the corpus cavernosum is
more developed than the opposed side,
erection is done downwards. It can be
also deviated laterally when a side wall
is shorter than the opposite wall.
The
treatment is surgical. To correct curved
erection, it is necessary to bring back
the longest wall to dimensions of
shortest by removing small pastilles on
the more developed part.
CURVED ERECTION PROVOQUED BY
INDURATION OF CORPUS CAVERNOSUM
(
Peyronie' disease) = sclerosis and local
arteriosclerosis.
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A
B
A :
Radiograph of normal corpus cavernosum
B :
Radiograph of induration of corpus
cavernosum
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Sclerosis of the
corpus cavernosum was described for the first time by
François de la Peyronie.
The development within the penis of one or several sometimes
painful indurations causes a deviation and a deformation of the
penis in erection.
Why arteries of the corpus cavernosum present these
phenomena of arteriosclerosis as well in young man as in old
man?
Vascularization of the genitals is particularly sensitive to
sex hormones like the totality of the genitals.
Patients who have a sclerosis of the corpus cavernosum have
generally important disturbances of sex hormones' metabolism.
This fact can be controlled by checking their male
hormones.
TREATMENT
At the beginning of
the disease male hormones intake can make regress the induration
completely.
When the lesions have been made up for several years, the
disease can be stabilized by the
hormonal treatment.
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