Overview
Congenital curvature of the penis upward, downward, or to one side during erection is not uncommon. Some degree of curvature can be present in the normal penis, and the curvature is typically noted only with erections.
For some men, the curvature interferes with intercourse or causes psychological distress. Fortunately for these patients, correction can be performed to help improve function and decrease distress.
Procedure
The curvature correction surgery is performed on an outpatient basis 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. Loss of length is usually less than an inch. The final length can be estimated by bending an erect penis straight. The patient is given a firm erection during surgery with the use of a medication along with injecting fluid into the penis. This is important, because most curvatures are not adequately seen intraoperatively unless the penis is very erect. Most surgeons do not maximize the erection, which is why some patients are under- or over-corrected, requiring revisions.
Postoperative pain is mild and success rates for this procedure are very high. Patients must avoid sexual activity for six weeks after surgery. Dr. Alter will provide detailed instruction based on your individual needs.