Some men are born with a penile curvature, which tends to be less severe than the one caused by Peyronie’s disease and is not usually associated with erectile dysfunction. Therefore, the vast majority of patients with congenital curvature can be effectively dealt with by the simpler forms of reconstruction such as the Nesbit technique.
However, as the degree of the curvature varies significantly among patients, the type of surgical approach needs to be discussed on a case by case basis.
Other men have abnormalities of the penile suspensory ligament, which can cause poor erections or instability of the penis. In some cases the laxity of the suspensory ligament is consequence of an accident but often is a congenital condition.