Congenital penile curvature is a condition present from birth, where the penis shows a visible curvature during erection. This is not uncommon and can vary in the degree of curvature. In most cases, this curvature is not a result of Peyronie’s disease, which occurs later in life and involves the development of fibrous plaques within the penis. Congenital curvature usually stems from a difference in the length of the two sides of the penis, rather than tissue scarring.

The diagnosis of congenital penile curvature is usually made based on a physical examination and the patient’s report of the shape of the penis during erection. In some cases, additional diagnostic procedures, such as penile Doppler ultrasonography, may be necessary to rule out other possible causes of curvature and to assess the degree of curvature.

The decision on the treatment for congenital penile curvature depends on several factors, including the degree of curvature and how it affects sexual function and the psychological state of the patient. In mild cases, where curvature does not significantly affect sexual function or does not cause discomfort, treatment may not be necessary.
In cases where curvature interferes with sexual activity or causes discomfort, surgical intervention may be considered. Surgical options include techniques such as plication (shortening the opposite side of the penis to correct curvature) or, in more severe cases, the use of grafts (tissue transplants) to straighten the penis. It is important to note that any surgical intervention carries certain risks and potential complications, and all options should be carefully considered with a qualified urologist.
Counseling may be beneficial for some patients to cope with the psychological aspects of congenital penile curvature, especially if it affects self-confidence or interpersonal relationships.