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Penile Curvature (Peyronie's Disease)

Diagnosis, symptoms, and treatment methods.

General Information About Penile Curvature

Penile curvature (Peyronie's Disease or Congenital Curvature) is the bending or shortening of the penis during erection due to the formation of hard, inelastic calcified plaques (scar tissue) on the tissue layers (tunica albuginea) that enable penile erection. Severe curvatures can make sexual intercourse impossible. In our Urology clinic, anatomical repair is provided through ESWT, intralesional injections, or corrective surgical operations.

Disease Details and Frequently Asked Questions

You can access detailed information about the disease under the headings below.
What is Penile Curvature (Peyronie's)?

It is the bending of the penis in the direction of a plaque during an erection, resulting from the hardening and calcification (plaque formation) of the connective tissue beneath the elastic sheath that encloses the spongy tissues inside the penis.

Is It Congenital or Acquired?

Congenital curvatures (Congenital chordee) result from asymmetrical tissue development and are painless. Acquired Peyronie's disease, however, typically occurs in men aged 40-60 when micro-traumas (injuries) during sexual intercourse heal incorrectly, leaving a scar.

What Are the Symptoms?

In the early stage, there are hard lumps (plaques) felt under the skin when the penis is flaccid, accompanied by severe pain during an erection. In the late stage, the pain subsides, but the penis exhibits a deformity bending from 30 to 90 degrees (upwards or sideways) and shortening.

Does It Prevent Sexual Intercourse?

Mild curvatures (under 30 degrees) may not cause a problem. However, severe bends over 30 degrees make sexual penetration impossible or highly painful for both the patient and his partner.

Can It Be Cured with Medicines or Creams?

No, externally applied creams or erection pills do not dissolve the calcified plaque. In the early (painful) stage, drug injections directly into the plaque and Extracorporeal Shock Wave Therapy (ESWT) can halt the progression of the disease.

How Is Surgical Treatment Performed?

If the deformity is permanent and prevents intercourse, surgery is necessary. For mild bends, stitches are placed on the opposite side of the penis to straighten it (plication). In severe cases, the calcified plaque is excised, and a patch (graft) is sewn in its place. If erectile dysfunction (impotence) is also present, a penile prosthesis (implant) is inserted.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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