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Peyronie’s Disease

Peyronie's Disease Information and Examples

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 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.

Penis Curvature

Penis Curvature

The following slideshow 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.

Peyronies

Peyronies

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

Bent penis

Bent penis

A photo taken facing the patient; this picture shows that the curvature is towards his side with a slight upward U-shape bend. This man has Peyronie’s Disease.

Crooked Penis

Crooked Penis

In this side view, the curvature is partially demonstrated, and that is the reason it helps when men are seen by Dr. Gelman at the Center for Reconstructive Urology in person that they bring pictures with several different views of their erect penis. This patient has an upward bend of the penis in addition to a penile curve as seen in other pictures.

Penis Curved side

Penis Curved side

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.

Side Penile Curvature

Side 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.

Penis Indentation

Penis Indentation

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.

Upward Curved penis

Upward Curved penis

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.

Downward Penile Curvature

Downward Penile Curvature

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.

Congenital Curvature Flaccid

Congenital Curvature Flaccid

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.

Congenital Penile Curvature erect

Congenital Penile Curvature erect

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.

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?
Could this be Cancer?
Does Vitamin E help, or are there medications that can cure Peyronie's Disease?
Can Peyronie's Disease be cured with surgery?
Is my sex life over?

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.

Do you have a question or concern about treatment?