My Penis Is Curved: Reasons & Treatment Options Explained

Penile curvature is a common concern among men, often causing discomfort or anxiety. It can range from a mild curve to a more pronounced bend that impacts sexual function. Understanding the reasons behind penile curvature and exploring treatment options can help manage the condition effectively. There are several potential causes, including congenital factors, Peyronie’s disease, trauma, and autoimmune conditions. Identifying symptoms and risk factors early can aid in seeking appropriate medical attention. Multiple treatment approaches are available, from non-surgical methods to surgical interventions.

Understanding Penile Curvature

Penile curvature varies in extent and impact. While a slight curve is common and typically harmless, significant bends might indicate an underlying condition.

Normal vs Abnormal Curvature

A slight curve in the penis, whether to the left, right, up, or down, is normal and usually does not cause any issues. Human bodies are rarely perfectly symmetrical, and mild variations are natural.

Abnormal curvature, however, involves a pronounced bend that causes discomfort or impairs sexual function. This type of curvature often requires medical evaluation and potential treatment.

Identifying Significant Bend

Recognising a significant bend involves noting any changes in the shape of the penis, particularly during an erection. Signs of an abnormal bend include a noticeable and persistent curve, the presence of lumps or scar tissue, pain during erections, or difficulties during sexual intercourse.

Men experiencing these symptoms should consult a healthcare professional for a thorough assessment and possible diagnosis of underlying conditions such as Peyronie’s disease.

Impact on Sexual Function

Penile curvature can substantially impact sexual function depending on its severity. A mild curve is generally benign, but a pronounced bend can cause significant issues such as pain during intercourse, difficulty with penetration, or erectile dysfunction.

Emotional distress and anxiety related to performance can further exacerbate the condition, highlighting the importance of addressing both the physical and psychological aspects of penile curvature.

Causes of Penile Curvature

Penile curvature can result from several underlying conditions and factors. It is essential to understand the causes to seek appropriate peyonie’s disease treatments in the UK.

Congenital Penile Curvature

Congenital penile curvature is present from birth due to abnormal development of the penile tissue.

Developmental Factors

During foetal development, the penile tissue may not form symmetrically. This asymmetry can result in a curved penis from birth.

Impact from Birth

The curvature in congenital cases is typically noticed during adolescence. It varies in severity and may affect sexual function depending on the degree of the bend.

Peyronie’s Disease

Peyronie’s disease is a prevalent cause of penile curvature in men, characterised by the development of fibrous scar tissue.

Formation of Plaque

Scar tissue, or plaque, forms under the skin of the penis. This plaque causes the penis to bend during an erection, leading to curvature.

Possible Causes: Trauma & Injury

Microtrauma or injury during sexual activity is believed to be a significant trigger. These injuries might not heal correctly, resulting in plaque formation.

Age and Prevalence

Peyronie’s disease is more common in men over 40. The risk increases with age, potentially related to decreased tissue elasticity.

Penile Trauma

Direct trauma to the penis can also cause curvature. Injuries may result in scar tissue, leading to bending.

Common Causes of Injury

• Intense or rough sexual activity
• Sporting accidents
• Penile fractures due to forceful bending

Impact of Penile Fractures

Penile fractures, though rare, can lead to severe curvature if not treated promptly. The fibrous tissue formed during healing can cause a permanent bend.

Autoimmune Conditions

Autoimmune diseases can contribute to penile curvature through inflammation and subsequent scar tissue formation.

Diseases Leading to Inflammation

Conditions such as lupus, Bekhçet’s syndrome, and Sjogren’s syndrome cause chronic inflammation that can affect tissue flexibility and integrity.

Links with Scar Tissue Formation

Inflammation from autoimmune diseases can lead to abnormal healing processes, resulting in scar tissue. This scar tissue can cause or worsen penile curvature.

Symptoms and Risk Factors

Peyronie’s disease is often recognised through a combination of specific symptoms. Certain risk factors increase the likelihood of developing this condition.

Identifying Symptoms of Peyronie’s Disease

Plaque and Lump Formation

The primary symptom of Peyronie’s disease is the formation of fibrous scar tissue, or plaque, within the penis. This can be felt as hard lumps or bands under the skin. These plaques disrupt the normal elasticity and structure, causing the penile tissue to deform during an erection.

Pain and Curvature During Erection

Affected individuals often experience pain during erections, a common symptom in the initial stages of Peyronie’s disease. As the plaque develops, it restricts the expansion of the penis, leading to noticeable curvature. The bend can occur in any direction but is most commonly upwards.

Loss of Length or Girth

Over time, the presence of plaque can result in a gradual reduction in the length or girth of the penis. This occurs due to the fibrosis and tissue contraction caused by the disease, altering the penis’s overall dimensions.

Hourglass Deformity

Some men may notice an hourglass deformity, where the penis appears pinched in the middle, creating a narrower section. This irregularity can make penetration difficult and uncomfortable, further complicating sexual activity.

Common Risk Factors

Genetic Predisposition

Research indicates that genetic factors can play a significant role in the development of Peyronie’s disease. A family history of the condition may increase an individual’s likelihood of experiencing similar symptoms.

Age and Health Conditions

Peyronie’s disease is more commonly diagnosed in older men. The likelihood increases with advancing age due to cumulative minor injuries and a natural decline in tissue elasticity. Other health conditions, such as diabetes and erectile dysfunction, are associated with an increased risk.

Effects of Vigorous Sexual Activity

Engaging in vigorous or aggressive sexual activity can contribute to the onset of Peyronie’s disease. Forceful bending or trauma to the penis during intercourse can trigger plaque formation, leading to curvature and other symptoms.

Connective Tissue Disorders

Certain connective tissue disorders are linked to an elevated risk of penile curvature. Conditions such as Dupuytren’s contracture, which affects the hand, and plantar fasciitis, which affects the feet, share similarities in the development of fibrous tissue and may correlate with Peyronie’s disease.

Diagnostic Methods

Accurate diagnosis is crucial for effective treatment of penile curvature. Various methods are employed to determine the underlying cause and severity.

Medical History and Physical Examination

Diagnosis typically begins with a detailed medical history. This helps to identify any past injuries, health conditions, or family history relevant to penile curvature.

The physical examination involves the urologist feeling the penis while flaccid to locate and assess the presence of scar tissue or plaque. This examination helps to gauge the severity of the curvature and identify any irregularities in the penile shaft.

Role of Imaging Techniques

Ultrasound for Assessing Internal Structures

Ultrasound is a crucial tool in diagnosing penile curvature. It allows the urologist to visualise the internal structures of the penis, including blood flow and the extent of any scar tissue. The detailed images from an ultrasound can help in formulating a precise treatment plan.

Photographic Evaluation

Use of Erection Photos in Diagnosis

Patients may be requested to provide photographs of their erect penis. These images are essential for evaluating the degree of curvature accurately. The photos need to capture the penis from multiple angles to offer a comprehensive view of the bend and any deformities.

The combination of these diagnostic methods enables healthcare professionals to determine the most appropriate course of action, whether it be monitoring, non-surgical treatment, or surgical intervention.

Treatment Options

Treatment for penile curvature varies depending on the severity and underlying cause, encompassing non-surgical and surgical methods.

Non-Surgical Treatments

P Shot

This treatment involves a doctor taking platelet rich plasma from your arm and concentrating it. Then injecting to the areas of plaque, causing your body to regenerate the area. This is one of the most popular treatments at our clinic (P Shot for Peyronie’s Disease).

Collagenase Clostridium Histolyticum (Xiaflex)

Xiaflex (Collagenase Clostridium Histolyticum) is an FDA-approved enzyme used to treat Peyronie’s disease by breaking down the build-up of scar tissue (plaque) which causes the curvature. Unfortunately Xiaflex is not a treatment we offer as the drug is novel and quite expensive in the UK.

This medication is administered through a series of injections directly into the plaque. The treatment course typically involves multiple injection cycles, followed by penile modelling exercises to help gradually straighten the bend.

Patients undergoing Xiaflex treatment may experience tangible improvements in curvature and symptom relief over a few months, although complete correction isn’t guaranteed.

Expected Results Over Time

Results from non-surgical treatments like Xiaflex can vary. While some patients notice significant improvement in penile curvature, others may see only modest changes.

It’s crucial to manage expectations and understand that non-surgical treatments often require patience, as the process can take several months. Regular follow-ups with a healthcare provider are essential to monitor progress and make any necessary adjustments to the treatment plan.

Surgical Treatments

Potential Reduction in Penis Length

Surgical options for treating penile curvature often come with the risk of a slight reduction in penile length. It’s important for patients to discuss this possibility with their surgeon to make an informed decision.

Results and Length Considerations

Different surgical methods offer varying outcomes in terms of straightening the penis. Surgeons strive to achieve the best possible correction while minimising any loss in length. Detailed preoperative consultations help in setting realistic expectations regarding the results and any associated changes in penile dimension.

Surgeries such as plaque incision/excision with grafting and plication aim to correct curvature, each with distinct techniques and implications for length and recovery.

Indications for Erectile Dysfunction

In some cases, penile implants may be recommended, especially for patients also suffering from erectile dysfunction. Implants can help achieve both rigidity for sexual activity and correction of curvature.

Penile implants are typically considered when other treatments have failed or when there is a significant impact on erectile function. The procedure involves placing a prosthetic device within the penis, which can then be inflated or bent into position during intercourse.

This dual function of correcting curvature and restoring erectile function makes penile implants a robust solution for suitable candidates.

When to Seek Professional Help

Recognising when it is necessary to consult a healthcare professional is key to managing penile curvature effectively.

Recognising When Pain is Significant

It is essential to be aware of the pain levels associated with penile curvature. Pain can be a significant indicator that professional help is needed. Here are some considerations:

• Persistent pain during erections that does not subside.
• Pain affecting daily activities or sleep patterns.
• Pain that intensifies over time or with physical activity.

Impact on Sexual Activity

Penile curvature can have a profound impact on sexual activity. This impact can manifest in various ways:

• Difficulty in achieving or maintaining an erection due to discomfort or pain.
• Challenges with penetration during sexual intercourse.
• Reduced sexual satisfaction for both partners due to the curvature.

If any of these issues arise, seeking medical advice can help address the problem and improve sexual health.

Sudden Changes in Curvature

Sudden alterations in the curvature of the penis can be alarming and may indicate an underlying issue that requires immediate attention. Pay attention to the following:

• A rapid increase in the degree of curvature.
• New lumps or bumps on the penile shaft.
• Unexpected changes in penile shape or size.

Immediate consultation with a healthcare provider is recommended if there are sudden changes in curvature, as early intervention can prevent further complications.

Living with Penile Curvature

Living with penile curvature can present both emotional and physical challenges. It’s important to address these aspects to improve overall well-being.

Communication with Healthcare Providers

Effective communication with healthcare providers is crucial. Openly discussing symptoms, concerns, and treatment options ensures better management of penile curvature.

Regular follow-ups with a urologist can help monitor progress and adjust treatments as needed. Engaging in honest conversations about sexual function and emotional impact is essential for comprehensive care.

Managing Emotional and Physical Aspects

Managing both emotional and physical aspects of penile curvature involves a holistic approach:

• Engaging in open and supportive discussions with partners can alleviate anxiety and strengthen relationships.
• Counselling or therapy can provide valuable support, helping to address body image issues and boost self-esteem.
• Practising stress-relief techniques such as mindfulness and meditation can improve mental well-being.
• Maintaining a healthy lifestyle, including regular exercise and a balanced diet, supports overall health and can have positive effects on sexual function.

Support Options and Resources Available

Several support options and resources are available for those living with penile curvature:

• Support groups provide a platform to share experiences and gain insights from others facing similar challenges.
• Online forums and communities offer anonymous exchanges of advice, reducing feelings of isolation.
• Educational resources, including books and reputable websites, can provide accurate information and guidance.
• Specialist clinics and healthcare providers often offer tailored support programmes to address specific needs.

Accessing these resources can help navigate the complexities of living with penile curvature, promoting a better quality of life.

Get In Touch

At Elite Aesthetics, we have experts that support and treat patients for Peyronie’s Disease every day. Most of our patients request a free 15 minute call with our patient coordinator to discuss any common questions you may have.

Consultations are held either on the phone, video call or in person in Greenhithe, Kent, which is just 20 minutes away by train from St. Pancras, London.

Contact us by either calling 01322 381 205, emailing info@elite-aesthetics.co.uk, or WhatsApp us.