Congenital Curvature

Congenital curvature of the penis upward, downward, or to one side during erection is not uncommon. The patient often presents for treatment in his twenties when he realizes he has an abnormality. The curvature can be mild or up to about a 90 degree angle. The most common curvature is downward followed by curvature to one side. At times, the penis can curve down and to the side. If the curvature interferes with intercourse or causes psychological distress, correction is performed.

The correction is performed as an outpatient by shortening the convex (longer) side with sutures. The incision is made through a previous circumcision scar, an incision on the underside of the penis, or a circumcision is performed. The nerves, arteries, and veins traveling along the length of the penis are elevated. The strong elastic tissue surrounding the erection chambers is shortened on the convex side of the curvature, thus straightening the penis. Loss of length is usually much less than an inch.

Postoperative pain is mild. The patient can go to work or school in a couple days, but sexual intercourse is not allowed for six weeks.

Alternatively, if the curvature is upward or downward, the concave (shorter) side can be lengthened. This more extensive procedure involves releasing the concave side with incisions and filling the gap with a graft of skin (dermis), tissue from porcine intestine, or vein. This procedure has greater risks and is usually not performed on patients with congenital curvature.

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As a best in class plastic surgeon, Dr. Gary Alter provides highly personalized and comprehensive care. His philosophy regarding the physician / patient relationship is based on trust and has earned him one of the most respected reputations in the world.

For more information about the surgeries we offer or to schedule a consultation with the board certified plastic surgeon, please contact either our Beverly Hills of New York City plastic surgery practice: