Penile Curvature Correction

Congenital penile curvature has an unknown cause and a prevalence rate of 4-10% in the absence of urethral abnormalities. It is diagnosed from the medical and sexual history. Physical examination during erection helps to document curvature and exclude other pathologies. Erectile function is normal, but can be compromised by excessive curvature. The cause of Peyronie’s disease is unknown, but the most widely accepted hypothesis is trauma to the tunica albuginea. The most commonly associated comorbidities and risk factors are diabetes, hypertension, lipid abnormalities, ischaemic cardiopathy, erectile dysfunction, smoking and excessive alcohol consumption. It has a prevalence rate of 0.4-9%. Dupuytren’s contracture is more common in Peyronie’s disease (9-39%), while Peyronie’s disease occurs in 4% of patients with Dupuytren’s contracture. However, it is unclear if these factors contribute to the pathophysiology of Peyronie’s disease.

All young men who underwent surgical correction of congenital penile curvature using the multiple parallel plication technique between 1992 and 1995 were reviewed, from their charts and by a telephone survey.

What is penile curvature?

Patients with this condition describe curvature of the penis during erection that has been present for as long as they can remember. It is usually first recognized around puberty or early adulthood. It differs from Peyronie’s disease in that there is no scar tissue within the penis, and the condition usually does not change over time.

Congenital curvature (penis curvature from birth) is exceedingly rare. Less than an estimated 1% of men experience penile curvature without Peyronie's disease.

Cleveland Clinic urologists have extensive experience with reconstructive procedures for both congenital erectile curvature and Peyronie’s disease.

What causes penile curvature?

Penile curvature, when not Peyronie's disease, is a congenital condition, meaning men are born with it.

How is penile curvature diagnosed?

Your doctor will take a medical and sexual history which is typically enough to establish a diagnosis of congenital penile curvature. It may also be helpful for your doctor to examine your penis while erect. This can be done after an inject of vasocative drugs to prompt an erection.

Complications after surgery

What are the symptoms of penile curvature?

Further, many men who are concerned about the shape or size of their penis struggle to ask their doctors about their overall penis health.

How is penile curvature treated?

In mild forms it does not require any treatment. However, when the degree of curvature interferes significantly with the ability to have sexual intercourse, surgical correction is used to restore normal function and form to the penis.

Cleveland Clinic urologists have extensive experience with reconstructive procedures congenital erectile curvature. Correction of congenital erectile curvature is accomplished by surgically exposing the penis, in order to shorten the side of the penis opposite the curvature to match the other side. This results in a straightened erection. This procedure has a high rate of success and can be performed in an outpatient setting.

10 common question about Penile Curvature Correction

1Can penile curvature be corrected?

How is penile curvature treated? In mild forms it does not require any treatment. However, when the degree of curvature interferes significantly with the ability to have sexual intercourse, surgical correction is used to restore normal function and form to the penis.

2What causes penile curvature?

Most cases, however, are the result of a poorly understood process known as Peyronie's disease. In Peyronie's disease, inflammation and scar tissue form along the shaft of the penis. No one is certain why this problem occurs. It may be triggered by repeated mild trauma during sexual intercourse.

3Will Peyronie's disease go away?

There is no cure for Peyronie's disease, but it is treatable and may go away on its own. Though it may be tempting to request medicine right away, many doctors prefer the “watchful waiting” approach if your symptoms aren't severe.

4What is congenital penile curvature?

Congenital penile curvature, or chordee, is defined as a congenital process which can be associated with hypospadias and is manifest by a curvature of the erect penis.

5What age does a man stop getting hard?

Most older men suffer not ED but erection dissatisfaction. Starting around age 50 (often earlier among smokers and, or, diabetics), erections change. In some men, the process is gradual, in others, it happens more quickly. Either way, older men lose the ability to raise erections solely from sexual fantasies.

6Does Viagra Help Peyronie's disease?

While erectile dysfunction drugs like sildenafil, tadalafil and vardenafil can't treat Peyronie's disease itself, they can often be used to treat ED that stems from Peyronie's disease. These drugs improve blood flow to the soft tissue of the penis, making it easier to develop and maintain an erection.

7How do you fix peyronies?

In some cases, drugs injected directly into the penis might reduce curvature and pain associated with Peyronie's disease. ... Medications include: Collagenase. The only FDA-approved medication for Peyronie's disease is collagenase clostridium histolyticum (Xiaflex). ... Verapamil. ... Interferon.

8Does Vitamin E help Peyronie's disease?

Vitamin E is commonly used to treat Peyronie's disease. ... Intralesional injection of the calcium channel blocker verapamil has been reported for the treatment of Peyronie's disease.

9What does Peyronie's disease look like?

Your penis might be curved upward, downward or bent to one side. In some cases, the erect penis might have narrowing, indentations or an hourglass appearance, with a tight, narrow band around the shaft. Erection problems. Peyronie's disease might cause problems getting or maintaining an erection (erectile dysfunction).

10What happens if Peyronie's disease is left untreated?

If left untreated, Peyronie's disease may cause fibrotic, nonexpansile thickening of relatively discrete areas of the corpora tunica, typically resulting in focal bend, pain or other functional or structural abnormalities of the erect penis. Many cases resolve without treatment.

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Penile Curvature Correction