Peyronie's disease
Exaggerated curvature of the penis is a condition that affects 1-5% of men. This results in an unsightly appearance and makes sexual activity somewhat difficult and painful for women.
The causes of penile curvature fall into two large groups:
1.) Congenital – The patient was born with this pathology.
Overgrowth of one side of the penis. Genetic component, but not linearly inherited.
2.) Acquired – Curvatures that developed during the patient's lifetime.
The degree of penile curvature that is permissible and does not interfere with sexual activity and therefore does not require surgery is:
- Downward (Ventral) Less than 30 degrees.
- Up (Dorsal: Less than 35 degrees.
- Sideways (Lateral): Less than 15 to 20 degrees.
Moderate curvature:
- Down (ventral): 30-50 degrees
- Up (Dorsal): 35-50 degrees
- Sideways (Lateral): 20-40 degrees
Severe curvature:
- Downward (ventral): Greater than 50 degrees
- Upward (Dorsal): Greater than 50 degrees
- Sideways (Lateral): Greater than 40 degrees
If the curvature exceeds a certain degree and is bothersome for sexual activity, surgery may be indicated. Outpatient surgical procedure lasting 30 to 120 minutes with a success rate greater than 95%.
Surgeries are divided into two large groups:
- Corrective surgery with shortening technique. Penoplasty can be performed to increase length and thickness to correct the degree of loss and improve dimensions.
- Length-preserving rotation surgery.
