To enquire about a consultation with a Penile Curvature specialist, please complete the form:
Congenital penile curvature usually becomes apparent during adolescence, when the chambers of the penis develop at the highest pace.
Fortunately, most congenital penile curvatures are minor and do not interfere with penetrative sexual intercourse. Only a minority of congenital curvatures are severe enough to require surgical correction. However, if you do decide that you want to correct the curvature of your penis, surgery is the only option available. Regardless of what you may see online from advertisers, there are no non-surgical treatments to fix a curved penis.
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 the 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 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.
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.
To enquire about a consultation with a Penile Curvature specialist, please complete the form:
A massive thank you to the Cadogan Clinic. I am very pleased with the results from my surgery. My patient advisor was extremely organised and made me feel reassured throughout the whole experience. My surgeon was excellent and so was the Clinic team - I could not have asked for a better service
The Cadogan Clinic and their surgical and nursing staff were excellent throughout my experience with them. The 24/7 nursing support in particular was a huge comfort to me, and I found them extremely responsive
I was nervous before my procedure, but I was put at ease by all the staff I encountered from my patient advisor, surgeon and the nursing staff. It was a huge reassurance to have access to the 24/7 on call nurse service immediately after my procedure also.
Three weeks ago I had advanced fat transfer surgery and I am over the moon with the results. My whole wellbeing has been uplifted and I am so much more confident and happy with myself. Thank you to the Clinic and my surgeon for their fantastic work and expertise
I would like to thank the Cadogan Clinic and my surgeon for the outstanding job he did on my complicated and difficult surgery. Mine was an unusual case, but I could not have had a better outcome. Throughout the whole process from my first contact with the clinic I had wonderful support. Someone was always on the end of the phone, and I really appreciated the support
I had a procedure at the Cadogan Clinic. From my first consultation, my surgeon was honest, straight forward, and precise. All the details and expectations of the surgery were fully explained, along with the after care. I am still in recovery, but the results already look fantastic; they delivered on all the promises that he made to me.
I could not praise the Cadogan Clinic or their fantastic staff more highly. I had a wonderful experience, am delighted with my outcome and in particular very grateful to the 24/7 nursing staff who were always on hand for any questions I had, at whatever time day or night
A huge thank you to the Cadogan Clinic who looked after me whilst having surgery. They treated me with so much care and it was truly appreciated. The care from the nurses was wonderful, and I genuinely felt that they really cared. First class service from the start. I also had follow-up calls the day after, couldn’t ask for more. A huge thank you to all involved
What is a congenital curvature of the penis?
A congenital penile curvature is caused by an uneven development of the two chambers that form the penis. This ultimately causes the erect penis to bend towards the aspect that has developed less. 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. 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.
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). In congenital penile curvature the deformity can render penetrative sexual intercourse difficult or impossible and therefore can be cause of embarrassment and distress.
How to distinguish congenital curvature and Peyronie’s Disease?
Both Peyronie’s Disease and congenital penile curvature can be found in adolescents and young adults and therefore the age of onset is not a good criterion to distinguish between the two conditions. However, in patients with congenital penile curvature there is no palpable lump, which is instead indicative of Peyronie’s Disease. Also, while most congenital curvatures are ventral, in most patients with Peyronie’s Disease the penis bends upward. Waist deformities are also absent in patients with congenital curvature, which tend to be more gentle and harmonic than the one of patients with Peyronie’s Disease.
While erectile dysfunction is a common finding in patients with Peyronie’s Disease, most patients with congenital penile curvature have adequate erections, as there is no association between cardiovascular risk factors and congenital penile curvature. To render the situation more confusing, some of the patients with congenital penile curvature may eventually develop Peyronie’s Disease later in life and therefore both conditions may coexist.
How is congenital penile curvature diagnosed?
The diagnosis of congenital penile curvature is based on history taking and on the examination of the patient. Most patients notice the curvature during adolescence. Examination of the penis will demonstrate a soft, elastic tunica albuginea and the absence of the indurated lumps typical of Peyronie’s Disease.
Deformity can be assessed only during erections, when the tunica albuginea of the penis is stretched to its maximum capacity. Self-photography of the erect penis can be a useful tool to identify the nature of the deformity. However, this can underestimate the exact tridimensional extent of the curvature, as the picture is by definition bi-planar. Also, an incomplete erection will make the deformity appear less pronounced. Alternatively, an artificial erection can be induced in the office with the administration of a vasoactive medication. This allows the surgeon to assess more precisely the tridimensional extent of the curvature and better plan the treatment options. Doppler ultrasound scan can be extremely useful to rule out the presence of plaques in the equivocal cases.
In patients with congenital ventral penile curvature it is very important to examine the urethral meatus and the distal urethra as congenital ventral penile curvature may be associated with anomalies of the penile urethra.
What are the treatment options for congenital penile curvature?
There is no effective medical treatment for congenital penile curvature as there is no scarred tissue to target. Therefore the only solution is surgery.
Surgical correction consists in the shortening of the longer, convex aspect of the shaft to make it even with the shorter, concave aspect. This is called tunica albuginea plication (TAP) or Nesbit procedure. Incision of the shorter side and grafting should not be offered as it gives poor results in patients with congenital penile curvature. This is because the curvature is more harmonic and not localized as in patients with Peyronie’s Disease. Fortunately, most patients with congenital penile curvature have an adequate penile size and therefore plication surgery will not cause excessive shortening. Straightening procedures are performed under general anaesthetic as a day case, are very reliable and safe in the hands of experienced, large volume surgeons like Mr Garaffa and patients can usually resume sexual activity four to six weeks afterwards
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