What Is Congenital Curvature?

Congenital curvature is the curvature of erect penis, or bent penis. Men are born with the condition but there are two types of congenital penile curvature.

The curvature is either present at birth or develops during puberty, so-called atrophy of the penis' erectile tissue. In the later case, the separate erectile tissues grow to differing lengths during puberty.

Drawing penis with congenital curvature
Courtesy of: via Wikimedia Commons

Penis with congenital curvature usually bends downwards, but the curvature can also be upward or lateral. The condition is stable and does not change over time.

Men with congenital penis curvature do not experience any pain when having erection, but there can be discomfort with intercourse for both parties if the penis is severely bent.

Erectile function is normal (if not, then something else is causing the problem) and men with congenital penile curvature are able to father a child (other things being equal).

Is Congenital Penile Curvature Same As Chordee?

Chordee is a bending of the penis associated with erection. Chordee is a congenital condition (birth defect) resulting from abnormal development of the penis. Some doctors use the term chordee for any downward curvature of the penis.

Chordee can occur alone or in combination with hypospadias, which is a birth defect in boys when the urethral opening is not located in a normal position.

How Common Is Congenital Curvature?

Congenital penile curvature is more common than most people realize. The estimated prevalence rate is 4-10% in the absence of urethral abnormalities, i.e. so-called chordee without hypospadias.

What Causes Congenital Penis Curvature?

Congenital penile curvature has unknown cause. It though appears that there is excessive elasticity on one aspect of the penis, i.e. compared to the rest of the penis.

Difference Between Congenital Curvature And Peyronie's Curvature

Congenital penile curvature is not the only reason why some men have bent penises. Most men with Peyronie's disease also develop penis curvature.

Peyronie's Disease is acquired condition, i.e. you are not born with the condition like is the case with congenital penis curvature.

Peyronie's disease is usually caused by some kind of an injury or trauma to the penis (though the exact cause is not known) and involves the buildup of scar tissues in the penis. Meaning you can feel a lump (penile plaque) in the penis.

Peyronie's disease also develops over time, i.e. usually starts with penis pain and then penis deformity starts to become noticeable. The penis deformity / curvature usually continues to develop during the first acute stage of the disease. Congenital penile curvature on the other hand remains the same over time.

If your penis has always been bent then you are very likely have congenital penis curvature. However, if you had some kind of penis injury early on (before becoming fully sexually mature) then it might have caused the curvature. You should then be able to feel the scar in the penis.

Also if your congenital penis curvature starts to get worse (more bent penis or deformed), then you may have developed Peyronie's disease as well.

If you think, there is any chance you might have Peyronie's disease instead of congenital penile curvature, then go and see a doctor and get formal diagnose. If you have Peyronie's disease then it is important to start Peyronie's Treatment as soon as possible.

Is Congenital Penis Curvature Treatable?

There is no cure for congenital penile curvature but it can be treated. The only agreed treatment for congenital curvature is penis surgery. There is though substantial risk associated with any penile surgery.

Therefore if you curvature is mild or moderate and you can have sexual intercourse, then your doctor is likely to recommend you try to live with it. However, if the curvature is severe and making sexual intercourse difficult or impossible then you might want to consider your options in more detail.