Penile Curvature vs. DESP

Difference between "Penile Curvature (PC)" and "Deviation of the Erect Straight Penis (DESP)"

 

Penile curvature is when the penis grows straight from the abdomen then assumes another direction along its course, with an identifiable point of curvature (pivot). Another condition for the diagnosis of penile curvature is that the curve or the abnormal direction cannot be forced into the straight direction by hand when in the erect state.  This here, is a case of penile curvature:

 

PENILE-CURVATURE

On the other hand, there is a condition that I call "Deviation of the Erect Straight Penis (DESP)". This is when the penis is straight all through its course, but is deviated to one direction though straight. A prerequisite for the diagnosis of DESP is that the direction can be changed with ease using one's hand, when in the erect state. This here is a case of DESP:

VDESP

DESP does not necessarily require surgical intervention, since it will not prevent or hinder sexual intercourse. One can easily point the penis in the desired direction, and after penetration. Still, one may chose surgical correction for cosmetic purposes. This is contrast to actual penile curvature, where the curvature can make intercourse difficult or painful.

Downward DESP is termed "Penile Drop" or "Ventral Deviation of the Erect Straight Penis ,VDESP". Sideways DESP is termed "Lateral DESP , LDESP".

How to correct DESP surgically?

This is easily and totally correctable either by anchoring the base of the penis backwards to the anterior abdominal wall at a higher position. The Penis is normally attached to the pelvis by a ligament (the suspensory ligament), that determines its angle upwards or downwards. Laxity of this ligament whether inborn or due to trauma can be corrected by one or two sutures placed between the base of the penis and the anterior abdominal wall.

This is a 20-minute surgery and the individual is discharged from the hospital the same day and allowed to resume intercourse one week later.

Professor Shaeer is one of the very few experts who have published scientific manuscripts in this domain.

View the research papers:

Congenital penile drop- defective suspensory ligament versus severe proximal curvature, a case series