Penile deviation--our therapeutic concept.

Penile deviations can be congenital or acquired, e.g. Peyronie's disease, and--depending on the degree of curvature--can impede cohabitation or make it completely impossible. 53 patients (17 congenital, 36 acquired) with penile curvature were examined as to anamnesis, clinical state, autophotography or artificial erection with the help of vasoactive drugs or a vacuum device. A pharmacocavernosography was performed in patients with erectile problems. In cases of congenital deviation, surgical correction was carried out according to the Nesbit procedure, and in 2 patients with hypoplastic urethra after penile straightening a urethroplasty was performed. Twenty-eight patients with Peyronie's disease were treated with superoxide dismutase. Seven of them had to be operated on, and in 8 patients with severe deviation surgical therapy was primary. In conclusion, the management of penile deviation should be differentiated depending on the cause and degree of deviation as well as discomfort and erectile potency.