Two types of penile curvature
It is necessary to distinguish between a congenital curvature of the penis, which is present at birth, and an acquired penile curvature (Peyronie’s disease).
How does a congenital penile curvature affect the patient?
Most patients first contact their urologist about their problems only during puberty or adolescence. During this stage of life, sexual activity first begins and the curvature of the penis gains on importance as it complicates intercourse. Feelings of shame often keep the affected person from speaking about their struggles. Until the psychological strain builds up at adult age.
In the most extreme cases, penile deformities might impair the patient’s everyday life: neglecting university studies, or quitting the job. Sexual relations are being avoided and relationships ended.
This shows the magnitude on how deformities of the penis can negatively impact the self-esteem and mental health of the affected person.
Symptoms of congenital penile curvature
Following problems and symptoms have been reported by affected men:
- Difficulties with engaging in sexual intercourse, caused by the penis curvature
- Pain with sexual intercourse (dyspareunia), either for the patient or their sexual partner
- Lowered self-esteem, due to deformities of the penis
- Avoidance of sexual relations, due to feelings of shame when displaying the penis
If affected by a congenital penile curvature, it is important to contact a urologist who specializes in the correction of penile curvature.
Treating congenital penile curvature
You do not have to keep carrying the burdens that come with a congenital penile curvature – the right medical procedure will relief the strain that it puts on the quality of your life. With the aid of a short surgical procedure, getting back a fulfilling sex life is possible.
Conservative procedures, such as penis extender devices or the intake of medications, will not lead to the desired success.
Dr. Kuehhas specializes in the treatment of congenital penile curvatures. His scientific research in this field has resulted in the improvement of established treatment methods. The so-called STAGE technique (Superficial Tunica Albuginea Geometric-Based Excision) has proven to be a valid and effective alternative to the conventionally used Nesbit procedure. The development of the STAGE technique has been imperative to achieve better results of straightening the penis and to reach higher patient satisfaction.
The STAGE technique in detail
1.
Step 1:
Using the geometric principles of the STAGE technique, the point of maximum curvature (P) is identified. This is located at the intersection of the two axes of curvature. There, maximum straightening can be achieved with minimal intervention.
2.
Step 2:
The point of maximum curvature (P) is marked. The tunica albuginea (erectile tissue skin) consists of two layers, an inner and an outer layer. In the STAGE technique, the tunica albuginea is not perforated. Thus, the erectile mechanism in the corpus cavernosum remains untouched.
3.
Step 3:
A 3x1 mm ellipse is cut out of the outer layer of the tunica albuginea and the defect is closed with absorbable suture material.
4.
Step 4:
The individual steps are repeated until a complete straightening of the penis is achieved.
5.
Step 5:
After complete straightening of the penis, repositioning of all tissue layers and the skin is performed.
Video about the STAGE technique
Our expertise - deciding upon the most suitable surgical method
As it is with every surgical procedure, only a surgeon with sufficient experience can be trusted to choose the most suitable surgical method, which is imperative to reduce the rates of complications and achieve the desired results. Therefore, it is important to consult a specialist in the field of urology who specializes in genital surgery, such as Dr. Franklin Kuehhas. Potential risks and side effects should always be explained in a preceding consultation.
Overview of operation facts
| Form of anesthesia | General anesthesia |
| Duration of the surgery | 60-120 minutes |
| Stationary stay? | Ambulatory treatment possible |
| Fit for work | Next day (sedentary activity) |
| Intensity of pain | low (pain is subjective) |
| Risk profile | Low - you will receive an in-depth consultation prior to surgery |
| Sexual intercourse | After six weeks possible |
| Sport | Refrain from sport activities for 1 week |
| Final result | Visible after 4-8 months |
I think I suffer from congenital penile curvature, what should I do next?
Don’t hesitate to ask for professional help if you’re suffering from congenital penile curvature. Dr. Kuehhas will answer all your questions confidentially.
We care about your concerns and would like to find the best solution for your problem!
Dr Franklin Kuehhas is a medical specialist in the field of urology and andrology. He received his specialization training at the University College London. He also underwent his training at the prestigious University Hospital in Heidelberg (Germany) and at the University Hospital of Vienna (Austria). Dr Kuehhas focuses on the treatment of congenital and acquired penile curvatures (Peyronie’s disease). His research activities have resulted in many publications and improvements of surgical techniques such as the STAGE technique for congenital penile curvature treatment.