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[ran35]

I have had a curvature since puberty - about 8-10 years. I cant recall any particular event that might have caused it.  In flaccid state, there is no curve but if its a soft or semi erection, there will be a bend and it would change the flow of piss. The curve is between 15-30 degrees from what i can tell in erect state -  it is a lateral (left direction) curve.

My erections are alright and not as great as they used to be but they dont always remain hard on their own, I need to constantly stimulate the penis. otherwise they become semi hard in a few seconds. Also, I have infrequent morning wood - another concern of mine.

I had no idea what Peyronies or congenital curvature was until a month ago and just assumed that curves are normal. I also noticed recently that the left side of my penis doesnt get enlarged or filled up with as much blood as the right cavernosa apart from the bend. The right side definitely is bigger if i were to look at it by dividing my penis right in the middle. My left kinda looks like a skeleton to the muscular right. I apologize for the crap analogy.

I checked my girth against the averages from studies on google and it turns out my flaccid girth is a little above average but my erect girth is like in the 30th percentile. My right side (the one without the bend) also feels spongier in semi erect state while the left side feels hard as if i am touching a bone.

Also the base of my penis looks narrower than the shaft. Is that normal?

Questions:
1] Can congenital curvature cause the left cavernosum to be less "filled up" with blood? Can peyronies?
2] If its peyronies, what are my options? Its been 8-10 years since i noticed the bend - any chance to regain the girth in chronic stage or is it only possible in acute stage?
3] I dont think the curvature has increased over the years. I might be wrong and it may have increased a couple of degree but definitely not much.
Does having Peyronies necessitate an increase in curvature over the years if left untreated? or can it be like my case where there is none or little curvature change.
4] Could the left cavernosum problem be something else - like blood pressure, diabetes, systolic peak blood flow velocity or anything else?
5] I dont have a hard indentation or palpable thing like many others but it is a little hard. From what I read I am not completely sure if ultrasound would be able to confirm if I have Peyronies - what other methods are there for confirmation?
6] I mostly read about acute phase treatment but is there any treatment that can work for a case like me if I have it. 10 years+, probably calcified?

I am planning to get my health check up done from a physician including blood pressure, diabetes and testosterone levels. Anything else I should get done?
I am planning to visit a urologist and get a doppler ultrasound. What specific questions should I ask him apart from these?

I have tried to research on my own but there is even less information about congenital curvature online than peyronies and things like uneven blood flow between two cavernosums or if there is even such a thing!
Most people I have read about with congenital curvature had normal penis apart from the curve and didnt have what I am talking about with their cavernosums or girth or the smaller penis base.

And if anyone knows any good doctors in upstate NY please let me know.

I dont know who to talk to about any of this in IRL so I hope you guys reply.

[melting]

1] Can congenital curvature cause the left cavernosum to be less "filled up" with blood? Can peyronies?
The arteries running through the chambers fill them. The filling up expands and hardens the tunica which then occludes the outflowing veins.

Peyronies can prevent the tunica from expanding allowing blood to leave. Less filled up is weird, is it literally soft or is there just less space to be filled up in one side? If the cavernosum is small than the other it might appear its less "filled up". So 1, normally  no. 2, yes.

2] If its peyronies, what are my options? Its been 8-10 years since i noticed the bend - any chance to regain the girth in chronic stage or is it only possible in acute stage?

Many options you find on the forum can theoretically change the bend and regain girth. Traction, VED,.. or operations(which I wouldn't do but many did succesfuly)

3] I dont think the curvature has increased over the years. I might be wrong and it may have increased a couple of degree but definitely not much.
Does having Peyronies necessitate an increase in curvature over the years if left untreated? or can it be like my case where there is none or little curvature change.

both possible.

4] Could the left cavernosum problem be something else - like blood pressure, diabetes, systolic peak blood flow velocity or anything else?

Damage to the artery(doubtful), left side imbalance in your hips, Pelvic floor,.. Everything else would be systemic and on the right side too.

5] I dont have a hard indentation or palpable thing like many others but it is a little hard. From what I read I am not completely sure if ultrasound would be able to confirm if I have Peyronies - what other methods are there for confirmation?

What is little hard? Peyronies would mean hard inflexible tissue is preventing the tunica from expanding normally bending your penis there like fulcrum. Doppler imagining would show if there's unnormal tissue.

6] I mostly read about acute phase treatment but is there any treatment that can work for a case like me if I have it. 10 years+, probably calcified?

See nr.2. + reg. calcification there are chemical treatments that destroy the calcification(xiaflex, verapamil and my favorite - transdermals with DMSO but that is DIY and needs a lot of research on your own)

Doesn't sound to me like Peyronies Disease. You can also test some medication like viagra, cialis to see what a peek erection looks like. If you're not able to have intercourse, or have pain, you're advised to get help and if not you should enjoy life not worrying.

Most people I have read about with congenital curvature had normal penis apart from the curve and didnt have what I am talking about with their cavernosums or girth or the smaller penis base.

This could be normal and natural shape.

Also, I have infrequent morning wood - another concern of mine

 

Normal, especially when you worry.

[TonySa]

The curve certainly sounds cogenital and with your minor curve should create no problems w intercourse.  If the variation in the cavernosa new?  If so, you definitely want to get it checked out by a specialist, also given lessened NTE and less hard erections.  Def get a full workup for Erectile Dysfunction.  An Doppler whennerect can help w diagnosing Erectile Dysfunction.  Can you see Dr Eid, he may be nearby...look him up here.

[ran35]

Thank you for the responses.

I was hoping to see Dr Eid but he is in NYC which is 6-7 hours by road. Also, he is not an "in-network" provider with my insurance so the costs will rise.
I was planning to meet a local urologist for his opinion and get a doppler and the required tests.
Then if needed I was hoping to contact Dr Eid
Does anyone know how long it takes to get an appointment with Dr Eid

Melting -

What is little hard? Peyronies would mean hard inflexible tissue is preventing the tunica from expanding normally bending your penis there like fulcrum. Doppler imagining would show if there's unnormal tissue.

I meant that the left side feels harder than the right.


TonySa
Yes, the variation may not be completely new but it is more defined now. I will ask my insurance company but in your opinion doppler and other tests for Erectile Dysfunction are usually covered by most insurance right? What about peyronie treatment?

I can feel a little mass like thing I can press on the left side. I am not sure if it would be characterized as lump or not. I feel a little tingle when i  move my fingers in that region but not a lot of pain. Right side of penis has no such sensations or mass. I can see a few lines, maybe nerves that I didnt see before on left side. Do they mean anything usually?

I am not having good erections at all since last 2 days - less length, girth and it doesnt stay erect for long. I am getting more worried.

[TonySa]

Insurance should cover Doppler for diagnosing peyronies or Erectile Dysfunction.  You can ask your doctor to get insurance approval before moving further.

Gym exercise that might help blood flow.

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