What Is Congenital Penile Curvature?
A significant curvature of the penis that is most noticeable during an erection is known as congenital penile curvature. This condition results in a bent penis because one of the penis's sides is bigger or more elastic than the other. The curvature has three possible directions: sideways, upward, downward, or, in certain situations, a mix. Although the incidence of congenital curvature is thought to be less than one percent of the male population, reports of these conditions have grown recently as a result of patients and doctors increasing awareness of the issue.
What Are the Symptoms of Congenital Penile Curvature?
Men who are born with congenital penile curvature typically have longer penises and are not typically affected by erectile dysfunction. Patients do not seek therapy when the curvature angle is less than 30 degrees since it does not affect sexual activity. Patients with more severe curvature, however, will almost always have the following complaints:
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The patient or their partner may experience severe pain and difficulty during sexual activity.
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They may feel embarrassed about their condition because of the abnormal appearance of their penis.
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They may bend further during sexual activity along the axis of curvature, which is concerning because it could result in a penis fracture or possibly Peyronie's disease.
Patients with congenital penile curvature may endure a few other psychological or physical difficulties.
Among the physical symptoms are:
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Penile Torsion: A condition in which the penis seems to be almost perfectly rotated
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Skin adhesion.
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Inability to obtain and sustain an erection.
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Difficult erections.
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Agony or difficulties during a sexual encounter.
Among the psychological symptoms are:
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Reduced self-worth.
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Shame-related feelings during sex.
How Is Congenital Penile Curvature Diagnosed?
Penis curvature to the left or right might be rather typical. When the penis is in an erect position, congenital penile curvature can be felt. This condition typically causes the penis to curve downward, laterally, or both. When changing a child's diaper or putting on clothes, parents frequently notice the problem in young boys. In some cases, a male puberty might reveal the curvature on his own. It is not possible to determine congenital penile curvature by looking at an erect penis. Furthermore, hereditary penile curvature is not detected in males with a modest left or right penile curvature.
Is a Curved Penis Normal?
An average penis will have some curvature to it. When the penis is erect, it frequently curves slightly to the left or right. When a guy has discomfort from his bent penis or finds it difficult to engage in sexual activity, it becomes an issue.
What Differentiates Peyronie's Disease From Congenital Penile Curvature?
Penile curvature can be caused by two conditions. Peyronie's disease (PD) and congenital penile curvature (CPC). Even if the curvature itself occasionally seems comparable, there are several differences between the two circumstances. Curvature in males with congenital penile curvature is frequently initially observed in adolescence. Whether the issue arises during puberty in certain males or if it has been present since birth is unknown at this time. Congenital penile curvature is an uncommon disorder thought to afflict fewer males.
Unlike Peyronie's disease, congenital penile curvature does not entail scar tissue in the elastic covers of the erectile chambers. Congenital penile curvature often consists of a lateral, downward, or mixed curve. Congenital penile curvature is an unchanging condition over time. Peyronie's disease is more prevalent than congenital penile curvature and differs in a few significant ways. First off, whereas CPC is most likely inherited, PD is an acquired disorder that a person acquires later in life. Over time, these plaques may cause the penis to alter, resulting in painful erections, increased curvature, and, in certain situations, erectile dysfunction (ED). However, those who have CPC typically do not have uncomfortable erections or notice gradual changes in the degree of penile curvature.
How Is Congenital Penile Curvature Treated?
Treatment options for congenital penile curvature are limited to urogenital surgery due to its anatomical nature. However, patients do not need to fear because congenital penile curvature is 100 % curable with few problems and very good cosmetic outcomes when done by skilled physicians using the most recent surgical procedures. Minor examples exist in which the penis is not curled at a sharp angle. In this instance, penile traction devices or injections rich in platelets might be used to cure it and enhance erection. But occasionally, the penis is so severely curled that surgery is probably the only practical course of action.
The patient receives a sedative before the procedure, after which the penis is degloved. Initially, physicians employ the law of geometry to ascertain the penis's maximal angle of curvature. Due to the recognized risks associated with surgery, a novel method known as superficial tunica albuginea geometric-based excision (STAGE) was created. The neurovascular bundle, which is made up of tissues that contain nerves in the penis, is then repositioned by surgeons. This technique makes it possible to see the tunica albuginea, or the outer layer of the covering enclosing the tissue. The place where the penis curves are treated is treated with three little incisions. The next step involves utilizing dissolvable stitches, which eventually dissolve spontaneously, to seal the excision site. The final step is to keep repeating the previous three stages until the excessive curvature of the penis is gone.
Conclusion:
During puberty, congenital penile curvature birth defects become more noticeable. Male neonates may acquire congenital penile curvature as a result of issues with fetal development. Patients will undoubtedly be quite happy with the outcome because there is a very low likelihood that the curvature will reappear following the procedure. Men and their partners also experience a considerable reduction in pain during sexual activity. Men also have more self-assurance when it comes to their sexual performance, which strengthens relationships.
