The history of ventral penile curvature if untreated in childhood is not known. The authors tried to assess this by performing an online survey of adults who had untreated ventral penile curvature using a Facebook advertised survey. Their outcome measures included the 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. Men self-identified themselves by looking at images of penile curvatures prior to taking part. Of 684 respondents, 11.8% reported untreated ventral 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). The authors conclude from their study that, despite the population being self-selected, and the image identifier not being validated (although proving accurate in pre-testing), it is worth carrying out ventral curvature surgery in childhood because it is has high success rates, low complications, and improved outcomes as reported in the literature. The study is interesting in its own right as it demonstrates an increasing use of social media in scientific research. 

Do adult men with untreated ventral penile curvature have adverse outcomes?
Menon V, Breyer B, Copp HL, et al.
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Henrik Steinbrecher

Southampton University Hospital NHS Trust

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