Congenital Penile Deformity

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What are the treatment options for congenital penile curvature?

The only way to correct a congenital curvature is with a surgical procedure, which involves shortening the longer (convex) side of the penile shaft to make it even with the contralateral shorter aspect. Although shortening can be achieved with a variety of different techniques, they are all pretty similar in terms of approach and surgical outcome and are called albuginea plication (TAP) or Nesbit plication (NP). Relaxing incisions of the shorter side and grafting, as described in case of the acquired penile curvature (Peyronie’s Disease) is not a solution in congenital penile curvature patients, as it yields poor cosmetic results since the curvature is more harmonic and not localized as in patients with acquired penile curvature (Peyronie’s Disease). 

Fortunately, the majority of patients with congenital penile curvature have an adequate penile size and they have not experienced penile shortening due to plaque formation and therefore tunical plication surgery is not likely to cause excessive shortening of the shaft.

Surgery is usually performed under general anaesthetic as a day case; the procedure is very reliable and safe when performed by experienced surgeons like Mr Garaffa and patients can usually resume sexual activity around six weeks after the operation.

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