Differential Diagnosis for Bent Penis
- Single most likely diagnosis
- Peyronie's disease: This condition is characterized by the formation of fibrous scar tissue inside the penis, leading to curved, painful erections. It is the most common cause of a bent penis and typically presents in middle-aged men.
- Other Likely diagnoses
- Penile fracture: A penile fracture occurs when the penis is bent or twisted, causing a tear in the tunica albuginea, the fibrous layer surrounding the corpora cavernosa. This condition often results from traumatic injury during sexual activity.
- Congenital penile curvature: Some men are born with a curved penis due to abnormal development during fetal growth. This condition may become more apparent during puberty.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Penile cancer: Although rare, penile cancer can cause a bent or deformed penis. Early detection and treatment are crucial to prevent metastasis and improve prognosis.
- Urethral stricture: A urethral stricture can cause a bent or curved penis due to scarring and narrowing of the urethra. If left untreated, it can lead to urinary retention, kidney damage, and other complications.
- Rare diagnoses
- Klinefelter syndrome: This genetic disorder can cause a variety of physical and hormonal abnormalities, including a bent or small penis.
- Epispadias: A rare congenital condition where the urethra opens on the top of the penis, often associated with a curved or bent penis.
- Fibrosis due to injection or trauma: In rare cases, injection of substances into the penis or traumatic injury can cause fibrosis and scarring, leading to a bent penis.