[23M] With sudden penile curvature and erection changes

Patient Description

A 23-year-old male has been experiencing issues with erections for the past three weeks, including a sudden curvature of the penis. There is slight discomfort and changes in firmness when not erect. The patient reports slight pain during erections, which subsides. A lump was identified at the bottom of the shaft near the head. No recent injuries or trauma are noted, and the patient is not on any medications. No pre-existing conditions or chronic illnesses are reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possibilities:

  • Peyronie's Disease: This condition involves the development of fibrous scar tissue inside the penis, leading to curved, painful erections. The lump you feel could be a plaque associated with this condition.

    • Treatment may include medications, injections, or surgery, depending on severity. A healthcare provider can offer the best guidance.
  • Penile Trauma: Even if you're unsure about an injury, minor trauma can sometimes cause similar symptoms.

    • Rest and avoiding activities that might worsen the condition can help.

What you can do

  • Consult a Healthcare Provider: It's important to get a professional evaluation to confirm the diagnosis and discuss treatment options.
  • Track Symptoms: Use MDandMe to journal your symptoms, track any changes, and share this information with your provider.
  • Avoid Aggravating Activities: Try to avoid activities that might worsen the discomfort or curvature.

What you should look out for

  • Increased Pain or Discomfort: If the pain worsens or becomes persistent, seek medical attention.
  • Changes in Urination: Difficulty or pain during urination should be evaluated by a healthcare provider.
  • Emotional Impact: If this issue is affecting your mental health, consider speaking with a professional for support.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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2 mo ago


People Also Ask


What is Peyronie's Disease and how is it treated?

Peyronie's Disease is a condition where fibrous scar tissue develops inside the penis, causing curved and sometimes painful erections. Treatment options vary based on severity and may include medications, injections, or surgery. Consulting a healthcare provider is essential for proper diagnosis and treatment.


Can minor penile trauma cause symptoms similar to Peyronie's Disease?

Yes, minor penile trauma can sometimes cause symptoms similar to Peyronie's Disease, such as curvature and discomfort. Even if an injury is not remembered, rest and avoiding activities that might worsen the condition can help alleviate symptoms.


What should I do if I experience increased pain or changes in urination?

If you experience increased pain or changes in urination, it is important to seek medical attention promptly. These symptoms could indicate a worsening condition or another underlying issue that requires professional evaluation.


How can issues with erections affect mental health?

Issues with erections can significantly impact mental health, leading to stress, anxiety, or depression. It is important to address these feelings and consider speaking with a mental health professional for support and guidance.


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