Congenital curved penis: why does it occur and is it necessary to operate?

Congenital curved penis: why does it occur and is it necessary to operate?

Hello Doha!

Congenital curved penis is a deformation that affects about 3% of men. Present since birth, it is commonly noticed at puberty and the diagnosis is postponed due to the embarrassment of many boys in discussing the condition with their parents.

Unlike Peyronie’s disease or tortuosity caused by trauma and fractures, it is present from birth. It does not cause pain and is not accompanied by nodules, but it can be operated on if it causes discomfort or discomfort in the sexual act.

In order to clarify the main doubts, we created content that explains the phenomenon, clarifies its causes and presents the main solutions to the problem – when it becomes a problem. Follow!

The Congenital Curved Penis

Before we introduce the disorder and its causes, it should be noted that many penile curvatures should be considered normal. It is common for the penis to present a tortuosity of 30º, to the right or left, without major consequences.

Congenital curved penis is only considered for those who exceed 45º and who, although they do not cause daily pain, as can occur in Peyronie’s disease, some discomfort or embarrassment may appear during the sexual act.

Congenital curved penis is a consequence of a genetic condition. Men are born with the curvature and usually notice it during puberty, when penile development occurs and erections become more frequent.

Peyronie’s disease, trauma and fractures are different because they are acquired throughout life and can be accompanied by nodules, in addition to causing discomfort, pain and making it difficult to maintain an erection.

It is common for diagnoses for congenital curved penis to be postponed due to the embarrassment of young people in discussing the issue with their parents.

Why congenital curved penis occurs

For the erection and rigidity of the penis to occur, elasticity and compliance of the tissues are needed. It expands in all dimensions when filled with blood. In a penis where there is no congenital curvature, the tissues are symmetrically elastic and the erection is “straight” (or up to 30º).

In congenital cases, there is a congenital asymmetry of the corpora cavernosa, with increased compliance of the tissues on only one side, that is, when one side is larger and more elastic than the other. Tortuosity occurs up, down, or to one side.

Is it necessary to operate on the congenital curved penis?

Not necessarily. When the angle of curvature is not so high, it is not necessary to look for surgical solutions. However, there are problems associated with a more pronounced curvature, such as:

  • Difficulty, pain or impossibility of penetration;
  • Pain and discomfort for the partner;
  • Restriction to few sexual positions and movements;
  • Fibrosis formation on the opposite side to the curvature;
  • Premature ejaculation as a result of sensitivity in the glans;
  • Psychogenic dysfunction, caused by fear, shame and loss of self-confidence.

The corrections of the congenital curved penis

Techniques vary according to the shape, type and degree of curvature. The main ones used are:

  • STAGE

This technique makes small incisions in the limb, followed by mini sutures that correct the curvature without affecting the size of the limb during and after the procedure. The size is little affected if we consider the size of the erect penis measured from the pubis to the tip of the glans before the procedure. Some cases may have small losses, such as 0.4cm. There is no risk of erectile dysfunction and it can also be used in cases of stable Peyronie with curvatures in only one plane.

  • Nebit

Here we have the classic treatment of these cases, but little used when the surgeon knows the Stage technique. With Nesbit, there may be an opening of the corpora cavernosa and the presence of sutures is more conspicuous, remaining more apparent than is generally desired. Size reduction can also be observed more frequently. Every 30o of curvature is estimated to lose or adjust the longer side by about 1.6cm.

  • Grafting

Aimed at cases of more pronounced curvature and when the patient is very concerned about size. This procedure manipulates the side of the curvature with the placement of a graft to make the penis finally straight. It is an aggressive and more complex procedure. No patient at Instituto Peyronie was referred for this procedure given the possibility of erectile dysfunction resulting from the surgery, in addition to other complications.

The treatment of congenital curved penis will depend on the severity of each case. Therefore, consult an expert and discover the most suitable procedure for your case.

Schedule your appointment now, we can help you!

Call Braziliam Medical Center – Doha-Catar +974 6679 6680 or chat in English using the Whatsapp link on this page.

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