Congenital penile curvature

A congenital penile curvature (CPC) is a deformity of the penis which is present from birth. It affects 1 to 4 percent of men.

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Congenital penile curvature

Two types of penile curvature

It is necessary to distinguish between a congenital curvature of the penis, which is present at birth, and an acquired penile curvature (Peyronie’s disease).

Overview on congenital penile curvature

How does a congenital penile curvature affect the patient?

Most patients first contact their urologist about their problems only during puberty or adolescence. During this stage of life, sexual activity first begins and the curvature of the penis gains on importance as it complicates intercourse. Feelings of shame often keep the affected person from speaking about their struggles. Until the psychological strain builds up at adult age.

In the most extreme cases, penile deformities might impair the patient’s everyday life: neglecting university studies, or quitting the job. Sexual relations are being avoided and relationships ended.

This shows the magnitude on how deformities of the penis can negatively impact the self-esteem and mental health of the affected person.

 

Symptoms of congenital penile curvature

Following problems and symptoms have been reported by affected men:

  • Difficulties with engaging in sexual intercourse, caused by the penis curvature
  • Pain with sexual intercourse (dyspareunia), either for the patient or their sexual partner
  • Lowered self-esteem, due to deformities of the penis
  • Avoidance of sexual relations, due to feelings of shame when displaying the penis

If affected by a congenital penile curvature, it is important to contact a urologist who specializes in the correction of penile curvature.

Treating congenital penile curvature

You do not have to keep carrying the burdens that come with a congenital penile curvature – the right medical procedure will relief the strain that it puts on the quality of your life. With the aid of a short surgical procedure, getting back a fulfilling sex life is possible.

Conservative procedures, such as penis extender devices or the intake of medications, will not lead to the desired success.

Dr. Kuehhas specializes in the treatment of congenital penile curvatures. His scientific research in this field has resulted in the improvement of established treatment methods. The so-called STAGE technique (Superficial Tunica Albuginea Geometric-Based Excision) has proven to be a valid and effective alternative to the conventionally used Nesbit procedure. The development of the STAGE technique has been imperative to achieve better results of straightening the penis and to reach higher patient satisfaction.

The STAGE technique in detail

1.

STEP 1:

Using geometric principles, the point on which the curvature is at maximum (P) is located. It is situated at the crossing point of both axes of the curvature. At this point, maximum straightening can be achieved with minimal interference.

2.

STEP 2:

The point of maximum curvature (P) is marked. The tunica albuginea (the envelope of the erectile tissue) consists of two layer: the inner and the outer one. The tunica albuginea is not perforated during the procedure, which leaves the mechanism of erection within the erectile tissue intact.

3.

STEP 3:

On the tunica albuginea’s outer layer, an ellipse of the size of 3x1 mm is removed and the excision is closed with absorbable sutures.

4.

STEP 4:

Steps 1-3 are repeated until the penis is straight.

5.

STEP 5:

Following the successful straightening of the penis, all tissue layers are repositioned.

Video about the STAGE technique

Our expertise - deciding upon the most suitable surgical method

As it is with every surgical procedure, only a surgeon with sufficient experience can be trusted to choose the most suitable surgical method, which is imperative to reduce the rates of complications and achieve the desired results. Therefore, it is important to consult a specialist in the field of urology who specializes in genital surgery, such as Dr. Franklin Kuehhas. Potential risks and side effects should always be explained in a preceding consultation.

Overview of operation facts

Form of anesthesiaGeneral anesthesia
Duration of the surgery60-120 minutes
Stationary stay?Ambulatory treatment possible
Fit for workNext day (sedentary activity)
Intensity of painlow (pain is subjective)
Risk profile Low - you will receive an in-depth consultation prior to surgery
Sexual intercourseAfter six weeks possible
Sport Refrain from sport activities for 1 week
Final resultVisible after 4-8 months

I think I suffer from congenital penile curvature, what should I do next?

Don’t hesitate to ask for professional help if you’re suffering from congenital penile curvature. Dr. Kuehhas will answer all your questions confidentially.

We care about your concerns and would like to find the best solution for your problem!

Dr Franklin Kuehhas
Dr Franklin Kuehhas is a medical specialist in the field of urology and andrology. He received his specialization training at the University College London. He also underwent his training at the prestigious University Hospital in Heidelberg (Germany) and at the University Hospital of Vienna (Austria). Dr Kuehhas focuses on the treatment of congenital and acquired penile curvatures (Peyronie’s disease). His research activities have resulted in many publications and improvements of surgical techniques such as the STAGE technique for congenital penile curvature treatment.