From this point of view, congenital penile curvature is quite similar to acquired penile curvature or Peyronie's Disease, as in both cases there is a convex, longer and a concave, shorter aspect of the shaft penis. However, in case of congenital penile curvature, the asymmetry is due to an uneven development of the chambers of the penis while in Peyronie's Disease the scarring associated with the plaque causes shortening of one aspect of the penile shaft.
Congenital penile curvature usually becomes apparent during adolescence, when the chambers of the penis develop at the highest pace. It can begin even as an infant child, but would not become apparent until the man reaches sexual maturity and notices a curvature or deformity in the penis.
In these cases, there has been no trauma to cause the curvature. There is typically no pain and no scars that would precede the deformity. It can also be associated with hypospadias and chordee.
Fortunately, most of the congenital penile curvatures are minor and do not interfere with penetrative sexual intercourse. Only a minority of congenital curvatures are so severe to require surgical correction. However, if you do decide that you want to correct the curvature of your penis, there are only surgical options available. Regardless of what you may see online from advertisers, there is no non-surgical treatments to fix curved penis. No pills, injections or topical therapies will correct this disfigurement.
Although congenital penile curvature may point virtually in any direction, in most cases the penis bends downward; in this case, the curvature is called ventral. Ventral curvatures may present in isolation or together with anomalies of the penile urethra (the waterpipe).
Loss of length is something that concerns the majority of men when considering having a penile corrective surgery. After post operatively straightening the penis, there are two main factors that can predict a potential for loss of length. The first is the direction of the curvature. If you have a downward curvature, then there is a higher likelihood of loss of length as opposed to an upward curvature. The second factor is the degree of the curvature. Men who have a curvature of more than 60 degrees have a higher likelihood of loss of penis length, as opposed to men with less degree of curvature. It’s important to talk with your surgeon about all the possibilities and address any of your concerns prior to surgery. Please remember that men tend to have longer and more elastic penises, which makes loss of length a much smaller concern.
Our Uro-Andrology department is led by Mr. Giulio Garaffa, an award-winning Consultant Uro-Andrologist with over 20 years’ international medical experience in this field. Mr Garaffa has a global reputation for his excellence in urology and andrology, and is one of the leading experts in the fields of erectile dysfunction, congenital penile curvature, complex penile reconstruction, phalloplasty, Peyronie’s disease, male infertility and microsurgery.
Contact the Cadogan Clinic today to book a consultation to see if surgery is right for you.