Peyronie's disease is an abnormal curvature of the penis caused by scar tissue in the erectile tissue. Because the scar tissue prevents straightening of the penis, the curvature is most obvious during an erection. The curvature may be so severe that it prevents penetration during intercourse. Peyronie's disease usually affects men who are 50 and older.
Although the exact cause of Peyronie's disease is unknown, some experts believe the scarring is caused by injury to the penis from accidents, sports, or vigorous sex. During sexual intercourse, the penis can be injured by being bent during penetration or by pressure from a partner's pubic bone. Experts also wonder if this disease involves a problem with wound-healing.
The symptoms of Peyronie's disease can develop slowly or suddenly, and usually occur in men over age 50. Common symptoms include:
A bent or curved appearance of the penis that is most noticeable when erect. See your doctor as soon as possible after you notice signs or symptoms of Peyronie's disease. Early treatment gives you the best chance to improve the condition or prevent it from getting worse. If you've had the condition for some time, you may wish to see a doctor if the pain, curvature, length or other deformities bother you or your partner.
Peyronie's disease is diagnosed by physical examination of the penis that shows abnormal curvature and plaque/scar formation that may be palpated. While your primary care provider may diagnose the disease, they may refer you to an Ogden Clinic Urologist who is trained in urological and reproductive health. An X-ray or ultrasound may also assist the doctor in a diagnosis.
NOTE: You do not need a referral to see a specialist for Pyronie’s disease. Make an appointment with our urology department if you suspect you may have this condition.
Pyronie’s disease rarely resolves itself. Medicines may help treat pain and reduce how much the penis curves. They include:
Surgery is only considered for men who have severe pain, a severely curved penis, or sexual dysfunction related to Peyronie's disease. Performed by a urology specialist, surgical options include removing the scar tissue or shortening the unaffected side of the penis. In some cases, use of a penile prosthesis may be used to help keep an erection during intercourse.