What is a congenital curvature of penis?
A congenital curvature of the penis is a deviation of the erect penis. It is said to be congenital when the curvature has always existed. This curvature can worsen over time and be a source of psychological discomfort.
There are two kinds of curvature of the penis:
– Ventral curvature with downward deviation of the penis during erection. It is usually secondary to the presence of fibrous tissue between the corpora cavernosa (tissues made of areolae similar to a sponge located on each side of the penis that fill with blood during sexual excitement, which produces the erection) and the corpus spongiosum (surrounds the urethra and forms the glans). It may be isolated or accompanied by hypospadias (malformation of the terminal portion of the urethral canal).
– Lateral curvature linked to an asymmetric development of the corpora cavernosa. There is no associated fibrosis.
How can a congenital curvature of the penis be treated?
In both cases, treatment is surgical. For cases of ventral curvature, the surgery is complex and involves removing the ventral fibrosis and rebuilding the terminal portion of the urethra.
For the case of lateral curvature, the corpus cavernosum located opposite the curvature needs to be shortened because it is not possible to lengthen the shorter corpus cavernosum.
What can you expect from the surgery?
The results are usually excellent and depend on the experience of your surgeon and the complexity of the curvature.
You need to be informed of the loss in length of the penis, which may be around one centimetre.