Do adult men with untreated ventral penile curvature have adverse outcomes?

Abstract

Summary Introduction Congenital ventral penile curvature without hypospadias is often treated surgically in childhood. The history of untreated ventral curvature is unknown. Objective This study’s aim was to examine the association of untreated ventral penile curvature with various sexual and psychosexual outcomes. Study design An electronic survey was advertised to men older than 18 years on Facebook. Men with possible ventral penile curvature identified themselves by choosing sketches that most closely represented their anatomy. Outcomes assessed included: Sexual Health Inventory for Men, difficulty of intercourse because of curvature, International Prostate Symptom Score, Penile Perception Score, psychosexual milestones, paternity, infertility, sitting to urinate, and the CDC HRQOL-4 module. Results Among participants, 81 out of 684 men (11.8%) reported untreated ventral penile curvature. Participants with self-reported curvature noted more difficulty with intercourse because of curvature (4.5 vs 4.9, p < 0.001), more unhealthy mental days (8.6 vs 6.2, p = 0.02), and increased dissatisfaction with penile self-perception compared with men without reported curvature (8.6 vs 9.5, p < 0.001). Discussion Men with possible untreated ventral curvature reported worse penile perception scores, more mentally unhealthy days, and increased difficulty with intercourse secondary to curvature compared with men without curvature. A limitation to this study is selection bias; responses collected were self-reported from survey volunteers. Additionally, the question identifying ventral penile curvature is not validated but performed well in pretesting. Most questions were from validated surveys, but some were modeled after validated surveys and/or contained high face validity types of questions. Conclusion Men with possible untreated ventral penile curvature reported more dissatisfaction with penile appearance, increased difficulty with intercourse, and more unhealthy mental days. Given high success rates, low complications, and improved outcomes after surgical correction of penile curvature reported in the literature, our results support correction of congenital penile curvature in childhood.

External genital abnormalities in male primary school children: importance of structured school health survey

“…Ventral penile curvature associated with Hypospadias have more difficulty in intercourse, psychological issues because of penile appearance and maintaining straight flow of urine at the time of urination, besides having psychosocial issues. 13 Prevalence of 0.34% in this study is in sync with many studies.…”

Proximal hypospadias: we aren’t always keeping our promises

“…found an increased rate of recurrent penile curvature following dorsal plication when compared with corporal grafting (28% vs. 9%, p=0.03) 44 . Severe chordee, defined as penile curvature greater than 30 degrees, can be debilitating from both a urinary and a sexual function standpoint when it persists or recurs after primary repair 45 . Residual chordee occurs when the corrective procedure inadequately addressed the curvature at the initial procedure, while recurrent curvature appears because of disproportional corporal growth and may worsen as these boys progress through the exponential penile growth phase of puberty 44 , 46 .…”

Alterations in the Urinary Microbiota Are Associated With Cesarean Delivery

“…Emerging evidence has demonstrated that increases in the expression of genes associated with inflammatory disease coincide with expansion of Proteobacteria blooms ( Miyasaka et al, 2013 ; Mizuta et al, 2016 ; Nagao-Kitamoto et al, 2016 ). For example, the genus Pseudomonas (which belongs to the phylum Proteobacteria) has been frequently found to be correlated with infections ( Micek et al, 2005 ; Pobiega et al, 2016 ; Boutin et al, 2017 ). In our study, the bacterial order Pseudomonadales and genus Pseudomonas (which both belong to the phylum Proteobacteria) were distinguishing markers for PostD specimens.…”