call 1-714-456-2951
Reconstructive Urology Home Physicians & Staff Patient Information Contact Us & Directions
Urology Conditions Treated Urology Video Library Questions & Answers Research & Fundraising UC Irvine Medical Center Urology Blog


Ask Dr. Gelman


Do you have a question or concern about treatment? Dr. Gelman is happy to answer your questions. Click here to send him a message.




Penis Curvature Pictures Peyronies Picture Bent Penis Crooked Penis Penis Curved Side Side Penile Curvature Penis Indentation Upward Curved Penis Downward Penile Curvature Congenital Curvature Flaccid Congenital Penile Curvature Erect

The following slide show contains penile curvature pictures demonstrating how the penis is bent in men with Peyronie’s Disease and Congenital Penile Curvature. At the Center for Reconstructive Urology, we offer treatment to straighten penis curvature.

In this photograph taken from above looking down, the way a man would see his own penis, there is a bend to the left beginning at the mid shaft of the penis. This man has Peyronie’s Disease as the cause of his crooked penis.

This picture, taken of the man in the previous photograph, is a picture obtained facing the patient. This picture shows that the curvature is towards the left with a slight upward bend. This man has Peyronie’s Disease.

In this side view, the curvature to the left is not well demonstrated, and that is the reason it is helpful when men who are seen by Dr. Gelman at the Center for Reconstructive Urology bring pictures with several different views of the erect penis. This patient has and upward bend of the penis in addition to a penile curve to the right as seen in other pictures.

This patient has disabling penile curvature to the left side, and this was caused by Peyronie’s disease. Some men have mild penile curvature. Others can develop a very abnormal penis with up to and occasionally more than 90 degrees of penile curvature.

When men develop severe disabling curvature from Peyronie’s Disease, as seen in this picture, surgery can straighten penis curvature allowing the man to resume sexual intercourse.

Peyronie’s Disease is associated with a plaque within the penis that leads to penile curvature. In some cases, this plaque is to some extent along the circumference of the penis leading to an indentation of the penis and in some cases an “hourglass deformity” of the penis. In this picture, the indentation can be seen.

Although men who develop a bent penis from Peyronie’s Disease can have curvature in any direction, it is common for the curvature to be upward as the penile plaque is often along the top part of the penis. In this case there is a penile plaque towards the tip of the penis along the dorsal (top) aspect. This patient underwent a successful surgery to correct his curvature at the Center for Reconstructive Urology.

Although upward penile curvature is common along with some curve to the side, some men also can develop a downward penile bend as shown in this picture of a one of our Peyronie’s Disease patients. This man underwent a successful surgery to straighten his severely curved penis, and his now able to have intercourse once again.

This man reports that he had penile curvature, mostly to the side, for his entire life. This is called Congenital Penile Curvature. In this picture, the extent of the penile bend is not appreciated because he does not have an erect penis. Given that curvature is best seen during an erection, it is for this reason that we ask our patients to bring pictures of their erect penis to their initial appointment at the Center for Reconstructive Urology.

This man has lifelong Congenital Penile Curvature as seen during an erection. Although Peyronie’s Disease is an acquired disorder associated with penile plaque formation, Congenital Penile Curvature is caused by unequal development of the penis prior to birth. This patient underwent a successful correction of his disabling curvature with penile plication at the Center for Reconstructive Urology.

Peyronie's Disease is a disorder of the penis characterized by focal scarring and penile curvature. Men who develop this disorder notice a bent penis penis during erections. The penis curve can develop very gradually. However, in some cases, a man may wake up one morning and notice his penis significantly bent with a morning erection.  This abnormal penis curvature is usually caused by a disease called Peyronie's disease.  In addition to penis curvature, often an upward curved penis, the disease can also be associated with painful erections and/or a decrease in the quality and/or duration of erections (erectile dysfunction). Peyronie's Disease is named after Francois de La Peyronie who described the acquired penile curvature characteristic of the disease in 1743.


Many of our patients who come to our Center for Reconstructive Urology, located at UC, Irvine in Orange County, California, often are not familiar with their condition. They think they have a rare disease that they may have to "live with", or believe they may have cancer. The following are frequently asked questions.


Frequently Asked Questions about Peyronie's Disease

Why is my penis now bent? The penis bends because, during an erection, one side of the penis stretches less than the other side. This is because of scarring (plaque) that restricts expansion of one side. When one side is longer than the opposite side, this cause a bend.


How did this happen to me? The exact cause if often unknown. There may be genetic factors and trauma to the penis during sex may be a factor, but not always. More detailed information can be found in the "Causes" section


Could this be Cancer? No. Also, Peyronie's Disease is not contagious and is not sexually transmitted.


Does Vitamin E help, or are there medications that can cure Peyronie's Disease? Vitamin E is generally ineffective. There are many medications that have been tried and some continue to be reccommended. In addiiton, medical management options include injections of medications into the plaque. In general, medical management may be helpfu, but is often ineffective. However, there are Urologists with a special interest in Peyronie's Disease who are always testing new medications. When this testing is done within an approved research protocol, this is beneficial as effective medical management would represent an important research advance. There are many websites on the internet that promote different products. In many cases the main beneficiary is the person selling the product for profit.


Can Peyronie's Disease be cured with surgery? Surgery does not cure the disease, but can reliably straighten a curved penis. Many of our patients have curvature that is disabling. The word "disabling" can mean a bend so severe that penetration is impossible, or a lesser curvature that interferes with intercouse by limiting positions and enjoyment, or a bend that causes partner discomfort.


Is my sex life over? No.


If you are a man suffering from Peyronie's Disease, this website will provide you with information to help you understand this disorder and what treatment options are available.


The following pages describe normal penile anatomy and function, the causes of the disease, the symptoms and changes that occur with Peyronie's Disease, and the current non-surgical options for the medical treatment of a crooked penis. The surgery-plication and surgery-graft sections discuss surgery options to straighten penis curvature. Some patients with penile curvature have up to approximately 90 degrees of curvature, which prevents sexual intercourse. These patients are often referred to Dr. Gelman at the Center for Reconstructive Urology by their Urologists after failed Peyronie's treatment with medications and topical creams or penis stretching devices. These patients undergo penile curvature correction and are then able to resume sexual relations. Men who develop an abnormal penis with a disabling curve should know that the curvature can be successfully treated, allowing them to resume sexual intercourse.


Next Page: Normal Anatomy


Twitter Facebook Google+ YouTube LinkedIn Google+ Map

Center for Reconstructive Urology | 333 City Boulevard West, Suite 1240 | Orange, CA 92868
p 714.456.2951 | f 714.456.7263 |