Congenital Penile Curvature

Congenital Penile Curvature is a common condition among young males.

In this condition, the penis is normal during the flaccid stage. But during erection, the penis shows curvature mostly on the ventral side less often on the dorsal side.

The curvature is variable in severity. It has been present for many years since adolescence and there is no plaque on examination.

What Causes this Condition?

• There are two cylinders called corpora cavernosa of phallus that expands during erection. In this condition in one of the corpora is longer than the other leading to curvature
• Trauma or injury that results in localized bleeding inside the penis
• Genetic factors

Symptoms

• Penile curvature during erection
• Severe degree of curvature can cause difficulty in sexual intercourse
• Cosmetically disturbing

Treatment

For mild curvature: No treatment is required

For a severe degree of curvature: Plication surgery is advised 

Plication surgery is indicated

Penile Plication Surgery normally involves performing a tuck procedure on the region opposite to the plaque. This helps to shorten the long side of the penis. Some of the main benefits of this procedure include its simplicity, preservation of preoperative erection ability, and a high degree of patient satisfaction. The disadvantages basically include loss of penile length. Patients who are regarded as ideal candidates for this procedure include those who have sufficient penile length and a simple curvature without any related abnormalities.