Penile Curvature Caused By Peyronie’s Disease: What You Need To Know – A Guide To Patients And Urologists.

by Alex Shteynshlyuger MD

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

Important Considerations In Measuring Penile Curvature.

Quality of erection can affect the measurement of penis curvature.  Other factors are also important in determining a treatment plan in addition to penile curvature.

How Is Penile Curvature Measured?

There are a few ways to measure penile curvature.  One option is to use a picture taken by the patient and estimate penile curvature from the picture.  Patient taken pictures are useful for initial evaluation of penile curvature. It allows a urologist to see the severity of curvature and possibly associated abnormalities such as hourglass appearance (penile waist or narrowing in the middle of the penis).    

Android and iPhone Apps have been created in an effort to help measure penile curvature from the picture.

Measurement of curvature from an image may give an accurate measurement for some patients but not always. The measurement may be wrong if the erection is not fully hard.  Two-dimensional images may not accurately represent the three-dimensional complexity of the curvature; the hourglass appearance may be un-appreciate on the image..

However, it is important to realize that pictures may not accurately represent a complex three-dimensional nature of the curvature and often the associated abnormalities such as hourglass deformity or narrowing of the penile shaft as well as a loss of penile hardness may not be appreciated easily from a picture. 

A more traditional and useful way to evaluate penile curvature is by inducing an artificial erection in the office with medications such as prostaglandin or Trimix.

How Precise Is Measurement Of Penile Curvature?

Because the penis is a little bit floppy, it is not easy to get an exact measurement of penile curvature.  As a matter of fact, the same person measuring penis 2 or 3 times he is likely to get different results that vary by 5-10°, depending on where exactly the goniometer (the device used to measure angles) is positioned.  In other words, the measurement process introduces 5-10 degree variability in the measurement of the curvature.

Underestimation of Penile Curvature is Common.

There are a number of reasons why the measurement of penile curvature may underestimate the true severity of curvature are caused by  Peyronie’s disease.

In patients with Peyronie’s disease, there is typically no noticeable curvature when the penis is not erect.  When the penis gets erect the curvature starts to become noticeable.  Unless the curvature is measured when the penis is fully erect, the curvature will be underestimated sometimes by a significant amount.  Many men experience Peyronie’s associated ED leading to decreased erection hardness.

A severe 90° curvature may appear as only a minor 20-30° curvature if the penis is only 50% erect.  For this reason, it is very important to get an adequate erection that is at least 85-90% hard to fully evaluate the severity of penile curvature.  In addition, secondary and three-dimensional curvature appearance may not be well appreciated if the erection is not full.

In fact, it is not uncommon that patients with severe erectile dysfunction are unable to get an adequate erection with an injection of Trimix in the office. When these patients undergo treatment for erectile dysfunction with a penile prosthesis, often Peyronie’s disease is first recognized intraoperatively during insertion of the penile implant once the implant is inflated during surgery and curvature is noted.

Key Points: Measurement of Penile Curvature

  1. A full erection is necessary for accurate measurement
  2. Less than full erection leads to an underestimation of the severity of penile curvature
  3. 5-10° inter-measurement variation is expected

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.