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Dorsal Penile Curvature in Children: A Review

Ramazan Karabulut1, Zafer Turkyilmaz2, Cem Kaya3

  • 1Gazi University, Faculty of Medicine, Department of Pediatric Surgery, Ankara, Turkey. karabulutr@yahoo.com.

Urology Journal
|September 7, 2025
PubMed

Insights

Dorsal penile curvature (DPC) in children is rare, often linked to circumcision or other conditions. Significant DPC may require surgical correction, while mild cases or those post-circumcision may resolve naturally.

Area of Science:

  • Pediatric Urology
  • Andrology
  • Congenital Anomalies

Background:

  • Dorsal penile curvature (DPC) is a congenital or acquired condition affecting male children.
  • It can be associated with hypospadias, epispadias, or arise after neonatal circumcision.
  • Understanding the etiology is crucial for appropriate management.

Purpose of the Study:

  • To comprehensively review the existing literature on pediatric dorsal penile curvature.
  • To elucidate the causes, diagnostic approaches, and treatment strategies for DPC in children.
  • To provide an evidence-based overview for clinicians managing this condition.

Main Methods:

  • Systematic literature review of pediatric DPC.
  • Analysis of studies focusing on etiology, diagnosis, and treatment outcomes.
  • Inclusion of data on associated congenital anomalies and post-circumcision cases.

Main Results:

  • DPC is uncommon, with etiologies including skin tethering, corporal disproportion, and fibrotic changes.
  • Association with hypospadias and epispadias is noted.
  • Spontaneous resolution occurs in some cases, particularly post-circumcision; surgical intervention is indicated for curvatures ≥30°.

Conclusions:

  • Mild DPC often requires conservative management.
  • Surgical correction (e.g., plication, Nesbit procedure) is recommended for significant or functionally impairing curvatures.
  • Careful monitoring is advised for DPC following neonatal circumcision due to potential for spontaneous resolution.
Abstract

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