Penile Curvature in Peyronie’s Disease: What You Need to Know

by Alex Shteynshlyuger MD

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4050.

Dr. Alex Shteynshlyuger is a board-certified urologist in NYC who specializes in treating men with Peyronie’s disease.

Penile Curvature is One of the Most Common Symptoms of Peyronie’s Disease

Penile Curvature in Men

Penile Curvature in Men

Penile curvature is one of the most common manifestations of Peyronie’s disease

It is important to recognize that many men have mild life-long curvature called congenital penile curvature. The congenital penile curvature is not caused by Peyronie’s disease.

This article deals with penile curvature caused by Peyronie’s disease.

Some men have a mild curvature that bothers them visually but does not cause any difficulty with erections or sex. Other men have more pronounced and more severe bent, which makes it difficult to have intercourse. When the curvature is moderate, it makes it necessary to find a particular position that may work better. Penile bent can cause severe pain for the patient or his sexual partner during intercourse.

When the curvature is severe enough, it may be difficult or impossible to engage in intercourse.  At New York Urology Specialists, we perform an artificial erection with a penile doppler and obtain an accurate measurement of penile curvature.

What You Need to Know About Measuring Penile Curvature

Penile curvature is measured in degrees.  Typically curvature less than 20 degrees is mild and usually, no treatment is required.  Curvature more than 30 degrees to 70 degrees is moderate and curvature of more than 60-70 degrees is severe.

Penile curvature measurement is challenging.  It is important to understand the factors that affect the measurement of penile curvature.  

Curvature can only be measured accurately if the penis is fully erect. Men with severe curvature can have only mildly noticeable curvature when the penis is semi-erect.

Penile Curvature Shape is an Indicator of Anatomic Problem

Penile curvature is typically caused by aggregation of scar tissue called Peyronie’s plaque.  Typically the plaque is located in the area of curvature. Usually but not always, one can feel a hard ‘knot’ in the penis that corresponds to Peyronie’s plaque.   There may be more than one palpable plaque.

Peyronie ’s curvature may be pointing the penis up, to the side, or down to the floor.

The location of the Peyronie’s plaque usually determines the location and the shape of curvature.

Dorsal Penile Plaque

Dorsal plaque (plaque located on the upper part of the penis shaft) usually causes the penis to point up or to the side.  Sometimes the curvature may be multi-dimensional pointing both up and to the side.   Occasionally the curvature maybe even more complex ‘doughnut-like” causing severe multi-dimensional curvature.  The dorsal curvature is the most common type occurring in 60-70% of patients, sometimes with a secondary lateral curvature.

Ventral Peyronie’s Plaque

Ventral plaque of the penis (plaque located on the underneath of the penis) usually causes the penis to point down, but it may also cause the penis to point to the side depending on the exact location of the plaque.  Ventral plaque is less common, occurring in about 10-20% of patients.

Ventral plaque is located in proximity to the urethra, the tube through which the urine passes.  Occasionally, it may cause narrowing of the urethra.  For men with severe ventral curvature or urinary symptoms (slow urine stream, frequent urination, split urine stream) a cystoscopy may be necessary to evaluate the urethra for narrowing (stricture).

Distal Peyronie’s Plaque

Peyronie’s plaque that is located closer towards the tip of the penis (distally) causes curvature that is located closer towards the tip of the penis.  For the same degree of curvature, curvature that is closer to the tip of the penis tends to affect men more severely in terms of sexual function than a similar plaque that occurs closer to the base (or beginning of the penis).

Treatment Approach to Patients with Penile Curvature

At New York Urology Specialists, we perform an artificial penile erection with Trimix or alprostadil to get an accurate measurement of the penile curvature.  Penile ultrasound is used to evaluate penile vasculature and to look for Peyronie’s plaques (scar tissue). 

Many patients with moderate to severe curvature are advised penile traction therapy in combination with penile injections (verapamil, interferon, Xiaflex).  Patients with severe curvature, those who do not benefit from penile injections or interested in a quick resolution of their problems may consider surgical treatment with penile plication, plaque excision and grafting, or penile implant.

Why Choose New York Urology Specialists for Treatment of Peyronie’s Disease?

  • All treatment is performed by a board-certified urologist experienced in treating men with symptoms of Peyronie’s disease including penile curvature, narrowing of the penis, shortening of the penis, pain in the penis, and ED.  
  • We are one of the few practices in the region to offer a full range of options for treatment of Peyronie’s disease, sexual and erection problems in men.
  • We offer diagnostic testing in our office which avoids hospital costs.
  • Extensive Experience: Thousands of men have treated successfully using medical therapy (Xiaflex, Verapamil injections, Interferon), shockwave therapy for penile pain, penile plication, plaque excision and grafting, and penile implant surgery.
  • Confidential and Understanding Care. We understand that most of our patients desire privacy.  We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.

Scheduling Appointments for Peyronie’s Treatment at New York Urology Specialists

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4050.

We have excellent reviews from patients and their partners. 

Peyronies Disease and ED Are Treatable in Nearly Every Man

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of Peyronie’s disease and erectile dysfunction.  We understand the challenges that Peyronie’s disease and ED create for our patients, their relationships and their self-esteem.  We help you find a treatment for Peyronie’s disease that fits your needs, your lifestyle and your preferences.

Urologists are doctors specializing in the treatment of men with sexual problems including Peyronie’s disease and erectile dysfunction. By the virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for ED.  We offer medical and surgical treatment for Peyronie’s disease and erectile dysfunction.

We Treat Some of the Most Complex ED Problems Including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-646-663-4050 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship-trained board-certified urologist with expertise in evaluation and treatment of sexual and erection problems in men using modern effective and proven treatment methods.  We offer inflatable penile implant, shockwave therapy for ED and treatment for Peyronie’s disease.

He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4050.

We offer affordable, highest-quality urology care with or without insurance.   Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.