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Congenital penile curvature

Key sources
The following summarized guidelines for the evaluation and management of congenital penile curvature are prepared by our editorial team based on guidelines from the European Association of Urology (EAU/ESPU 2023) and the European Association of Urology (EAU 2023).
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Guidelines

1.Screening and diagnosis

Epidemiology
Recognize that isolated congenital penile curvature is relatively uncommon.
B
Recognize that the diagnosis of congenital penile curvature is usually made late in childhood.
B
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  • Clinical presentation

2.Diagnostic investigations

History and physical examination
Elicit a thorough medical history and perform full clinical examination to rule out associated anomalies in patients presenting with congenital curvature.
A
Obtain photo-documentation of the erect penis from different angles as a prerequisite in the preoperative evaluation.
B

3.Surgical interventions

Surgical management, indications
Perform surgery in patients with congenital penile curvature with the goal of achieving corpora of similar size,
B
after weighing esthetic and functional implications of the curvature.
B
Obtain artificial erection tests at the beginning and at the end of surgery.
B

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  • Surgical management (techniques)