Guideline sources The following summarized guidelines for the evaluation and management of congenital penile curvature are prepared by our editorial team based on guidelines from the European Association of Urology (EAU 2023; 2022). 1 2 Guidelines 1. Screening and diagnosis Epidemiology: Recognize that isolated congenital penile curvature is relatively uncommon. B Recognize that the diagnosis of congenital penile curvature is usually made late in childhood. B Clinical presentation: recognize that congenital penile curvature is often associated with hypospadias. B Show 3 more 2. Diagnostic investigations History and physical examination: https://web.pathway.md/diseases/rec2QdEUKWA0R0xiw 1/2 6/23/23, 3:35 AM Congenital penile curvature Pathway Elicit a thorough medical history and perform full clinical examination to rule out associated anomalies in patients presenting with congenital curvature. A Obtain photo-documentation of the erect penis from different angles as a prerequisite in the preoperative evaluation. B 3. Surgical interventions Surgical management (indications): Perform surgery in patients with congenital penile curvature with the goal of achieving corpora of similar size, B after weighing esthetic and functional implications of the curvature. B Obtain artificial erection tests at the beginning and at the end of surgery. B Surgical management (techniques): use plication techniques, with or without neurovascular bundle dissection (medial/lateral), for satisfactory curvature correction. A References 1. Lisette A 't Hoen, Guy Bogaert, Christian Radmayr et al. EAU guidelines on Paediatric Urology. EAU. 2022 Mar. Open 2. A. Salonia, C. Bettocchi, J. Carvalho et al. EAU Guidelines on Sexual and Reproductive Health. EAU. 2023. Open https://web.pathway.md/diseases/rec2QdEUKWA0R0xiw 2/2