CPT® Code 54360

Penile angulation, also known as penile curvature, refers to a condition where the penis deviates from its normal straight alignment. This condition can be either congenital, meaning it is present at birth, or acquired later in life due to various factors. Acquired angulation typically arises when scar tissue forms in place of the normal elastic tissue of the penis, often as a result of inflammation, infection, or injury. The angulation can manifest in different directions: ventral angulation occurs when the penis curves downward, which is frequently associated with a condition called hypospadias; dorsal angulation refers to an upward curve, commonly linked to epispadias; and lateral angulation can occur, causing the penis to curve to either the right or left side. The degree of angulation may be noticeable when the penis is flaccid or may only become apparent during an erection. Severe cases of penile angulation can lead to difficulties with penetration during sexual intercourse and may cause discomfort for both the patient and their partner. Surgical intervention is often considered to correct this condition, and the procedure can be performed using different surgical approaches, such as an infrapubic transverse dorsal incision or a subcoronal circumcising incision. The surgical technique involves exposing the tunica albuginea, the fibrous tissue surrounding the erectile bodies of the penis, and making precise adjustments to correct the angulation.