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.
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.
Penile curvature, when not Peyronie's disease, is a congenital condition, meaning men are born with it.
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.
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.
Further, many men who are concerned about the shape or size of their penis struggle to ask their doctors about their overall penis health.
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.
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