A curved penis during erection is not always a cause for concern. In fact, slight curvature is common and perfectly normal. However, when the curvature is pronounced, painful, or interferes with sexual function, it may be a sign of Peyronie’s disease, a condition that affects many men but is often underdiagnosed or misunderstood.
At Joshua R. Gonzalez MD | Sexual Health + Urology, we specialize in diagnosing and treating Peyronie’s disease with compassionate care and advanced medical solutions. Let’s explore what this condition entails and how it can be effectively managed.
What Is Peyronie’s Disease?
Peyronie’s disease is a connective tissue disorder where fibrous scar tissue (plaque) forms inside the penis. This plaque is not visible but causes the penis to bend or curve, particularly during erections. The curvature can be mild or severe and may lead to pain, erectile dysfunction, and difficulty with sexual intercourse.
Symptoms of Peyronie’s Disease
- Noticeable curvature of the erect penis (upward, downward, or sideways)
- Lumps or hard areas (plaques) under the skin of the penis
- Pain during erections or sexual activity
- Shortening of the penis
- Erectile dysfunction (ED) or difficulty maintaining an erection
- Emotional distress, anxiety, or depression due to sexual dysfunction
What Causes Peyronie’s Disease?
While the exact cause is not fully understood, trauma or injury to the penis—often during sexual activity—is a common trigger. The injury leads to inflammation and, eventually, the formation of scar tissue. Some men may not recall any specific injury. Genetics and autoimmune factors may also contribute, and men with connective tissue disorders (like Dupuytren’s contracture) have a higher risk.
Who Is at Risk?
- Men over the age of 40 (though it can affect younger men)
- Those with a family history of Peyronie’s disease
- Men with diabetes or erectile dysfunction
- Individuals with connective tissue disorders
- Smokers and those with poor circulation
How Is Peyronie’s Disease Diagnosed?
Dr. Joshua R. Gonzalez will perform a physical examination and may recommend imaging tests like ultrasound to assess the extent of the plaque and curvature. Medical history and any symptoms of pain or sexual dysfunction are also considered to make an accurate diagnosis.
Treatment Options for Peyronie’s Disease
Treatment depends on the severity of the curve and how it affects sexual function and quality of life. Options include:
1. Watchful Waiting
For mild curvature without pain or dysfunction, monitoring the condition may be appropriate.
2. Medications
- Oral treatments: Limited effectiveness.
- Injection therapy: FDA-approved collagenase clostridium histolyticum (Xiaflex) is injected into the plaque to break down scar tissue.
3. Penile Traction Therapy
Devices that gently stretch the penis can reduce curvature over time and may help preserve or restore length.
4. Shockwave Therapy
Low-intensity shockwave therapy may reduce pain and improve erectile function in some men.
5. Surgery
For severe cases, surgical intervention may be necessary:
- Plication: Shortening the longer side of the penis to straighten it.
- Plaque incision or excision with grafting: Used for more complex curvatures.
- Penile implants: Suitable for men with ED and Peyronie’s disease.
Dr. Gonzalez works with each patient to tailor the most effective treatment plan for their unique needs.
Q&A: Peyronie’s Disease
Q: Is a curved penis always a sign of Peyronie’s disease?
A: No, slight curvature during erection is normal. Peyronie’s disease typically involves a more severe bend, pain, and/or sexual dysfunction.
Q: Can Peyronie’s disease go away on its own?
A: In some cases, particularly early on, it may stabilize or slightly improve. However, most cases require medical treatment to prevent worsening.
Q: How long does it take to see results from treatment?
A: Results vary based on the treatment. For injection therapy like Xiaflex, multiple sessions are needed over weeks. Surgical results are more immediate but involve recovery time.
Q: Is Peyronie’s disease linked to erectile dysfunction?
A: Yes, many men with Peyronie’s also experience ED due to pain, curvature, or psychological stress.
Q: Will treatment affect the length of my penis?
A: Some treatments can preserve or restore length. However, severe Peyronie’s may cause permanent shortening. Early intervention can help minimize this.
Q: Is Peyronie’s disease dangerous or life-threatening?
A: No, but it can significantly impact quality of life, sexual health, and emotional well-being.
Regain Your Confidence and Sexual Health
Living with Peyronie’s disease can be challenging, but you don’t have to face it alone. At Joshua R. Gonzalez MD | Sexual Health + Urology, we are dedicated to helping you achieve the best outcomes with evidence-based and compassionate care. Dr. Gonzalez has extensive experience in diagnosing and treating men’s sexual health concerns, including Peyronie’s disease.
Contact Us Today
Joshua R. Gonzalez MD | Sexual Health + Urology
📍 5757 Wilshire Blvd, Suite 475, Los Angeles, CA 90036
📞 Phone: (323) 607-2895
🌐 Website: joshuagonzalezmd.com
If you’re experiencing symptoms of Peyronie’s disease or have concerns about penile curvature, schedule a consultation with Dr. Gonzalez today and take the first step toward reclaiming your sexual health and confidence.