Congenital Penile Deformity

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What is a congenital curvature of the penis?

A congenital curvature of the penis is a bent of the shaft caused by an asymmetrical development of the corpora cavernosa, which are the chambers that form the penis. 

In essence, during erections the asymmetric development of the corpora causes the penis to bend towards the side that has developed less.
Congenital penile curvature is quite similar to the acquired one, also known as Peyronie’s Disease, as in both cases the patient complains of a deviation of penis.

Although the deviation of the shaft is characterized by a convex (longer) and a concave (shorter) side of the penis in both congenital and acquired penile curvature, in case of congenital penile curvature, the deformity is caused by an uneven development of the corpora cavernosa of the penis while in acquired penile curvature (Peyronie’s Disease) the scarring associated with the plaque causes shortening of one side of the penile shaft, as already described in a dedicated section of this website.

Usually patients notice the presence of a congenital penile curvature when they are adolescent, because at this stage the chambers of the corpora cavernosa develop at the highest pace. 

Fortunately, the majority of congenital curvatures of the penis are minor and, as a consequence, penetrative sexual activity is not affected in most patients. Only a small number of patients present with congenital curvatures so severe to require surgical intervention.

Although congenital penile curvature the shaft may point virtually in any direction, in the majority of patients the penis is curved downward (ventral curvature). In general patients with a dorsal curvature (facing up) are more likely not to experience difficulties during sexual intercourse, as the angle of penetration is directed upward.

Curvatures pointing downwards can be seen in isolation (without any other associated condition) or can be associated with a large spectrum of anomalies of the penile urethra (the waterpipe). 

In general, patients with congenital penile curvature seek specialist advice if the curvature makes sex uncomfortable or impossible or if the deformity is cause of embarrassment. 

If you have noticed a bend in your penis, which has become more obvious when you were a teenager, it is very likely you have a congenital curvature of the penis.
Most congenital curvature of the penis are minor and don’t cause any problem during sex. However, if your curvature is significant or it causes you distress, you would benefit from a consultation with an expert in the field. Mr Garaffa is one of the leading experts in the correction of penile curvatures and he carries out more than 200 straightening procedures every year. 

After a thorough examination, which will also involve assessing the degree of your penile curvature during an artificial erection, Mr Garaffa will explain you what is the best procedure to correct the type of curvature of your penis. Straightening procedures are carried out under general anaesthetic and as day case procedure. Since Mr Garaffa performs a very large volume of complex surgical procedures every year, the operation lasts less than 1 hour and recovery is quick and you will be able to resume sexual activity with full confidence and a straight penis in 6 weeks.

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