How to distinguish between congenital curvature and Peyronie’s Disease?
Both congenital and acquired (Peyronie’s Disease) penile curvature can be seen in young men, although Peyronie’s Disease is typically a disease of the fifth decade of life. As a consequence, the age of onset of the curvature is not a reliable criterion to allow the clinician to differentiate between congenital and acquired curvature. In general, in patients with congenital penile curvature there is no palpable lump or scar tissue and the curvature is caused by an uneven development of the corpora cavernosa. In acquired penile curvature (Peyronie’s Disease) instead, one or more plaques need to be present.
In general, the majority of congenital penile curvatures are pointing downwards (ventral), while in most patients with acquired penile curvature (Peyronie’s Disease) the penis bends towards up (dorsal) or laterally (lateral).
Narrowing of the corpora (waste deformity or hourglass deformity) is also not found in patients with congenital penile curvature, which tends to be more gentle and harmonic than the one of patients with acquired penile curvature (Peyronie’s Disease), where the deformity is mainly localized in the point of the plaque.
Another big difference between patients with congenital and acquired penile curvature (Peyornie’s Disease) is the quality of erections. In general, patients with acquired penile curvature have known cardiovascular disease and experience a degree of erectile dysfunction. There is instead no correlation between congenital penile curvature and cardiovascular disease and this group of patients generally report good quality erections.
Why Choose Giulio
Giulio is a veteran surgeon with 15 years of experience in the field of Andrology and Reconstruction. He is also one of the largest penile prosthesis implanters in Europe, as well as the surgeon who performs the largest number of procedures for the correction of complex cases of Peyronie's disease. He has been invited to lecture and perform surgery in 21 different countries, in 6 different continents.
Penile prosthesis implants last year
Complex Andrological procedures every year
Phalloplasties over his career