Editing External Genital Anomalies in Boys (section)

=== Abnormal Penile Orientation ===

==== Congenital penile curvature ====
* '''Referred to as chordee'''
* '''Results from disproportionate development of the tunica albuginea of the corporal bodies'''
** '''Not associated with urethral malformation'''§
* '''Most commonly in the ventral direction (as opposed to Peyronie’s which is dorsal curvature), with preserved penile length and typically normal erectile function and rigidity'''§
* '''Commonly associated with hypospadias'''
** Isolated chordee may occur with or without a dorsal hood of prepuce and is commonly associated with a deficiency of the ventral skin
* '''Congenital dorsal penile curvature''' may be an isolated condition with or without asymmetrical penile skin or associated with epispadias and a ventral hood of prepuce.
* '''Healthy young men usually present between age 18-30 when the abnormal curvature is brought to their attention from their sexual partner'''
* '''Treatment is surgical''' and is offered to patients whose congenital penile curvatures significantly interferes with satisfactory sexual relations of the patient or partner.
** Plication is used almost exclusively§

==== Penile Torsion ====
* '''Definition of penile torsion: a rotational deformity of the penile shaft, usually in the counterclockwise direction'''
* The cause has not been clearly delineated but may be the result of an anomalous arrangement of penile shaft skin.