Overview of the Surgical Techniques for Congenital Penile Curvature
The gold standard for the surgical correction of congenital penile curvature is the so called plication technique.
The logic of this procedure is quite simple; the reason why penile curvature develops in the first place is because the one side of the corpora cavernosa (the erection mechanism) is shorter than the other hence when the penis is erect the shorter side stretches less than the longer side and this results in penile curvature.
All plication surgeries work in the same way; the surgeon operates on the longer side of the penis to equalize it in size with the shorter side and hence eliminate the curvature.
Various modifications of this technique have been proposed including Nesbit (the original surgical approach), Yachia, TAP, 16-dot, rotational and STAGE. The differences between these techniques are two-fold:
The type of incision/excision performed in order to eliminate the curvature
The method of sutures used
An excellent surgeon should achieve a very good result with any of these techniques although in certain cases, related to your curvature characteristics, a surgeon might prefer to perform a specific technique over the other.
Other surgical techniques have been proposed such as the incision and grafting (which is mainly used to operate on patients suffering from Peyronie’s disease), which aims to make the shorter side of the penis longer. Although our surgeons have extensive experience in these type of operations, we usually do not recommend this to patients suffering from congenital penile curvature for two reasons; firstly, it is a more invasive procedure and secondly patients with congenital curvature usually have quite a long penis and hence the degree of concern associated with potential penile length loss (with the STAGE technique the length loss is usually less than 1cm) associated with plication surgery, means it is not a recommended option.
At International Andrology, we prefer to perform the STAGE technique as it has demonstrable advantages to the traditional Nesbit approach.
Overview of the STAGE Technique
The Superficial Tunica Albuginea Geometric-based Excision (STAGE) technique was developed by our doctors as an improved modification to the original Nesbit technique.
The STAGE technique utilises geometric principles to analyse the point of maximum curvature and through repeated surgical processes, your penis is straightened by performing superficial and small excisions on the areas of maximum curvature.
To find out more about the surgical treatment of Congenital Penile Curvature, please contact our Patient Co-ordination team on 02031312933 or read our Frequently Asked Questions here.
I believe I am suffering from a Congenital Penile curvature, what should I do next?
If you believe you are suffering from Penile curvature and it causes you significant concern we advise you to see a specialist urologist/andrologist.
Our doctors have extensive experience treating curvature and our clinic is an international referral centre for patients suffering from this condition. We would be happy to review your case and treat you in our clinic.