Penis curvature is a very common condition that can be either congenital
or acquired. It can occur anywhere along the penis shaft and can deviate
in any direction. Congenital penis curvature can be downward (called
congenital chordee) and is caused by scar tissue located on the undersurface
of the penis or can be lateral (to the left or right) and is caused by
a disparity in the lengths of the erectile bodies of the penis with the
penis curving toward the shorter side.
Acquired penis curvature is caused by a condition called Peyronie's
disease which results in a plaque of scar tissue forming on the outer
lining of the erectile bodies. During erection, the scar tissue limits
expansion of this portion of the penis causing indentation and curvature
in that area.
Penis curvature, congenital or acquired, can often be corrected surgically.
We have found the modified Nesbitt procedure to be a relatively simple
and safe technique for penis straightening. This procedure is performed
by the use of plication sutures which are placed along the penis shaft
on the side opposite to the curvature. Because the procedure may sometimes
cause shortening of the penis we can, in those cases, perform penis lengthening
in conjunction with the curvature correction. In select cases, we can
also perform penis widening with Alloderm.