Curvature of the penis

Causes and Risks:
The vascular pathway that runs the length of the penis (corpora cavernosa) normally fills with blood during an erection. In Peyronie's disease (curvature of the penis) fibrous tissue develops within and obstructs the corpora cavernosa of the penis. Why this occurs is not known. The obstruction causes a bend to develop during erection which is painful and can make intercourse difficult or impossible. The condition is relatively uncommon and affects men between 40 and 60 years and older. An association has been noted with a fairly common disorder of white men over 50 years old, Dupuytren's contracture (a cord-like thickening across the palm of one or both palms causing the 4th and 5th fingers to pull in toward the palm). However, only 1 to 2% of individuals with Dupuytren's contracture develop curvature of the penis. Other risk factors have not been identified.

Prevention:
There is no known prevention for this condition.

Symptoms:
  • painful erection
  • observable bend in the penis with erection



Signs and Tests:
Physical examination is sufficient to diagnose curvature of the penis. No testing is usually necessary.

Treatment:
There is no current cure for the condition. Symptoms may be decreased somewhat with radiation therapy or corticosteroid injections into the fibrous band of tissue.

Prognosis:
The condition is typically progressive. No curative measures currently exist that do not risk impotence .

Complications:
The condition may make intercourse difficult, painful, or impossible.

Call Your Healthcare Provider:
Call for an appointment with your health care provider if symptoms occur, particularly if erections are painful.


This is an internal view of the male reproductive system.