Dear Magnus,
Patients that have a downward curvature as you are describing is known as a ventral chordee. You are correct in your association with hypospadius and curvature of the penis. It is important to know if you decide to proceed with surgical correction that a hypospadius is not going to complicate the procedure. Peyronie’s as also a cause of curvature and I will trust your assessment that there are penile plaques. Therefore, we are left with a situation which you were probably born with a ventral chordee.
There are a few ways to correct this surgically, all of which are outpatient procedures meaning you go home the same day. You would have to refrain from sexual intercourse after the operation for about six weeks. If these post-op instructions are followed and a good repair is performed by your surgeon, the results a very good and patients are often satisfied. The operations may effect the length and width of the penis. During the procedure and artificial erection would be performed to confirm to straightness of the shaft.
Only you can decide if your have significant discomfort or the curvature itself bothers you enough to proceed with surgical intervention. Urologists at Henry Ford Hospitals would be more than happy to discuss your situation and evaluate you in person.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-AK
*keyword:Penile Curvature