Straighten Out Your Sex Life


When I was doing my training, it was thought that Peyronie’s Disease was rare.  It was also not given much time because no one really cared about crooked penises.  As it turns out, that was pretty ignorant: Peyronie’s Disease (PD) and Congenital Penile Curvature (CPC) is not only a lot more common than we thought (up to 25% of the adult population in some series’), but has devastating quality of life effects for both men and women.

I have seen grown men cry and admit to treatment for depression.  I have also seen women leave their men because of the effect of this disease on all aspects of the relationship, not just the sexual part.

Treatment options for these conditions have been notoriously unsatisfying and invariably complicated.  Urologists were afraid to offer a surgical solution because of the high rate of impotence and low level of happiness.  After watching a friend suffer through this, I decided to learn a better way to help my patients.  This was not easy because there are only a few legitimate centers of excellence in the US for this surgery and I was frankly intimidated by the 30% rate of impotence afterwards.

My first foray into the surgical arena for PD found me spending a day with one of the worlds’ experts in this surgery.  He reported to me that he doesn’t worry about the erectile dysfunction because these were men who’s crooked penises prevented intercourse anyway.  He would simply offer them a penile implant if they had a bad outcome from his surgery.  I wasn’t at all happy with this approach; I wanted my patients to have a straight penis and to be able to have natural and spontaneous sex, with just one trip to the OR.

This led me to another true giant of penile straightening surgery, Dr. Allen Morey in Dallas, who was extremely generous with his time and his knowledge.  He is an absolute innovator in Urology and has a prolific amount of publications.  He literally invented a new operation to fix the penis with no erectile dysfunction and a nearly perfect record of satisfaction.  Dr. Morey was kind enough to teach me his modification of the old technique so I would be able to bring this to Arizona.

This surgery takes about thirty minutes to perform and is an outpatient procedure.  The incision is about two fingertips in length on the underside of the penis.  This is the first innovation; all previous procedures necessitated stripping all of the skin off of the penis, or degloving.  This led to a difficult recovery to say the least.  The second innovation was simply placing tensioning sutures to straighten out the penis through the tiny incision; prior procedures described removing pieces of the erectile tissue of the penis.  Removing this delicate tissue and the extensive dissection led to significant pain, swelling, and erectile dysfunction.  This penile straightening procedure doesn’t injure any of the erectile tissue, nor do the nerves of the penis get exposed with the potential for permanent damage due to the limited incision.

photo-4 photo-5

This is a patient of mine who had a significant downward curve and a lateral rotational defect.  You can imagine how painful and nearly impossible sex was for him and his wife.  The second picture shows the finished product: a perfectly straight penis with an essentially invisible incision.  Please note how clean my gloves are: there is no longer any blood loss for this procedure.  This patient spent about an hour in the recovery room and went home.  Back to work the next day.  Years of painful sex fixed.  Self-esteem restored.  Marriage rejuvenated.

I cannot adequately express how excited I am to offer this innovative procedure.  It is an easy recovery with great results.  You do not need to suffer with this condition, nor is it as hopeless as you may have been led to believe.  Please contact me if you have any questions or would like an opinion (first or second) on how I can help you.


24 thoughts on “Straighten Out Your Sex Life

  1. i have a curve like the one in the picture and cannot reach you for surgery, is there a home made solution to the problem

    1. The curve in the picture is very dramatic. Most curves are in one direction only. Biplanar (two direction) curves are frustrating and a challenge to fix; I am sorry if that’s what you have, but it is fixable, so don’t despair! There are several options prior to surgery and these are well documented in the literature, but none are without a Doctor’s prescription; I haven’t heard of a homemade solution, and I will typically ask my patients what they’ve tried. A good starting point is the International Society of Sexual Medicine’s website http://www.issm.info. Another way to find someone closer to you is through http://www.urologyhealth.org. Good luck and let me know if there is anything I can do for you.

  2. I have a dramatic curve down, nothing Biplanar. The curve is basically just like a banana, with the glands pointing straight to the floor. No history of injury, It’s been like this for as long as I remember. What are my options to finally fix this? It causes pain for a lot of sexual partners. I’m embarrassed to show it to anybody. Thanks

    1. I am so appreciative that you chose to share your story; I think penile curvature is more common than we think because guys just silently suffer with it. What you are describing may be something with which you were born called Congenital Penile Curvature as opposed to Peyronie’s Disease. It is easy enough to diagnose with a simple physical exam. Once you identify the problem, the solution becomes clear. There are several ways to fix it depending on the root cause. Please know that it is easy to fix and there are several options, including oral medication, injections of medication into the area causing the curve, and surgery. The surgery I perform takes less than 30 minutes through a tiny incision. It is an outpatient procedure and the recovery is pretty simple. I hope this was helpful to you. Thanks again for taking the time to share a part of your life with me.

      1. Dr. Agins,

        I’m interested in being seen by someone very soon. I live in Seattle, however my spouse has family in Phoenix and we’re making a visit in the next month or two. I would just like to get options/opinions and get it over with. I’m 38 and have been dealing with this issue for a long time. I’m ready to fix it and have a more happier sex for the last half of my life.

        Thanks

      2. If there is one point that I try to make, it is that this is really easy to fix and there is no reason anyone needs to suffer. We can make the diagnosis and come up with a treatment plan in a single visit. If surgery is the best option for your case, it is a twenty minute procedure with very little down time. Call me at 602-931-4556 and let me know when you will be in town.

  3. I also have a dramatic curve down, nothing Biplanar. The curve is basically just like a banana, No history of injury, again It’s been like this for as long as I remember.
    Do you know if anyone in Australia is using your procedure?

    1. First of all, I am so humbled to be read by someone in Australia! I do not know anyone personally, but if you tell me where in Australia you live, I will research this for you. Thank you for contacting me.

  4. Hi Dr. Agins,

    A few questions for you: 1) Do you know of any urologists in the NYC area who perform this same correction ? 2) Also, did you have to use any additional sutures to correct the rotation of the penis as opposed to the curvature? 3) Can absorbable sutures be used?
    4) Finally, is there a risk of penile shortening?

    Thank you very much for your time. Your article has inspired and brought hope…

    1. Thank you for your kind words! I am not aware of what the New York guys are doing; I suspect that they are having success, though. As far as your technical questions are concerned, I have not needed to perform any additional procedure for the rotational defect. There is some modeling (reshaping, if you will) that goes on, but that is all. Absorbable sutures have been used (not by me) and the results in the literature have been variable. My concern is that the curvature would recur down the road, so I like the non-absorbable stuff. The suture material is soft and barely noticeable. Penile shortening is not a concern with this technique. I hope this was helpful.

  5. Dr. Agins. I’m all the way from Holland and I think I’ve finally found the problem of the curve in my penis. Hower I still have some questions for you. It would be really great if you can help me with those questions before I contact my doctor here. Is there any way to get in touch with you via email or something else? Thanks

  6. Hi there Dr. Agins! I know it’s been a year since there was a reply to this post, but I’m hoping that you’ll see this and will be able to help me. I actually live in Tucson right now, but I will be living in Phoenix come August. I’ve seen lots of upward curve fixes, but was happy to see the picture that led to your site, because I too have a serious downward curve. I read an earlier post and I think it may very well be Congenital Penile Curvature (I read a short bit about it, and this problem was known since I was a child — Silly story, but I was maybe 4 or 5 and I would always complain that “My pp is bent!” haha. Well I guess that set the tone for the rest of my life). Anyways, I’m hoping I could email you and discuss possible treatments unless I am to wait until I come up to Phoenix and talk surgery. Thank you!

    1. Thanks so much for reading! I promise you that you are not alone and this is way more common than you think. It really is an easy fix. I am looking forward to meeting you in person!

  7. Hi
    I also have this same problem. My sex life is okay but i am unable to execute certain positions due to my banana shaped penis. I am from the caribbean and would really appreciate your help.

    1. I don’t know anyone in the Caribbean who can help you. I wish you luck. I would be happy to consult with your Doctor if I can be of any help.

  8. I would also love to fix my congenital penile curvature. It is affecting my sex life due to my banana shaped penis. Would you happen to know a doctor near Toronto Canada who can help me with this problem? What would be the first step? Thank you!

    1. I do not know of anyone in Canada. You can try the Canadian Urologic Association or the Sexual Medicine Society of North America website. Good luck!

  9. Hi, all the way from Amsterdam.
    Such a relieve finding this post! Finally something that looks like my bent (downward to the floor when erect).
    What is the procedure called? Do you know if anyone in Amsterdam or the Netherlands does it too?

    Already went to an urologist, but he said the bent should be no problem for sex and that it is mainly psychological (because I can’t seem to keep an erection for a long time). And that an operation is way to drastic for a young person as I am 24 years old. But it has been 2 years since I went there. And even before that I was already struggling with it for years. He said I should still be able to have sex, but the thing is I have been insecure about it for years. Stopping me from having sex and giving me a low sexual self-esteem. And again I am at a point where I am thinking about finding a solution every day. I hope you can help me in any way possible.

    Looking forward to a reaction.

  10. Hi I tried posting something, but I can’t see it.
    So again a shorter version of the original post.

    What is the procedure called and is there something in Amsterdam/Netherlands who can do it?

    1. The procedure is a modification of the “plication” techniques. I have no contacts in NL, but I’m sure that the International Society of Sexual Medicine would be of help. Thanks!

  11. Hi Sir
    I have a ventral curvature due to Payronie disease with almost angle about 50. The lesion is present on the ventrolateral aspect of the penis bilaterally at the junction between the proximal one third and the terminal two thirds ( rod like 2 cm.). With erection it is pointing to the floor with some difficulty with intercourse. I would like to fix this problem and I need to know about prognosis, possible side effects and the average expenses please.

    1. Thank you so much for contacting me. There are several options for you. A Surgeon with experience in bent penis can help you decide what is the best solution for you.

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