A.D.A.M. Medical Encyclopedia.
Curvature of the penis
Last reviewed: September 3, 2010.
Curvature of the penis is an abnormal bend in the penis that occurs during erection. It is also called Peyronie's disease.
Causes, incidence, and risk factors
In Peyronie's disease, fibrous scar tissue develops under the skin of the penis. The cause of this fibrous tissue is not known.
Fracture of the penis (injury during intercourse) can lead to this condition. Patients have a higher risk after surgery or radiation treatment for prostate cancer.
Peyronie's disease is uncommon and affects men ages 40 - 60 and older.
Curvature of the penis can occur with Dupuytren's contracture, a cord-like thickening across the palm of one or both hands. It is a fairly common disorder in white men over age 50. However, only a very small number of people with Dupuytren's contracture develop curvature of the penis.
Other risk factors have not been found. However, people with this condition have a certain type of immune cell marker, which indicates that it may be inherited.
Newborns may have a curvature of the penis, which may be part of an abnormality called hypospadias (this is different from Peyronie's disease).
You or your doctor may notice an abnormal hardening of the tissue below the skin, in one area along the shaft of the penis.
During erection, there may be:
A bend in the penis, which usually begins at the area where you feel the scar tissue or hardening
Narrowing of the penis
Problems with penetration or pain during intercourse
Shortening of the penis
Signs and tests
The health care provider can diagnose curvature of the penis with a physical examination. The hard plaques can be felt with or without an erection.
The doctor may use injected medications to cause an erection. Or you may provide your health care provider with pictures of the erect penis for evaluation.
An ultrasound may show the scar tissue in the penis, but it is not necessary.
At first, you may not need treatment. Some or all of the symptoms may improve over time or may not get worse.
Treatments may include:
Corticosteroid injections into the fibrous band of tissue
Potaba (a medicine taken by mouth)
Shock wave lithotripsy
Verapamil injection (a medicine used to treat high blood pressure)
However, these treatments often do not help much, or at all.
If medicine and lithotripsy do not help, and you are unable to have intercourse because of the curve of the penis, surgery may be done to correct the problem. However, surgery may cause impotence. It should only be done if intercourse is impossible.
A penile prosthesis may be the best treatment choice. (A penile prosthesis is a medical device implanted in the penis requiring a surgical procedure. The device is often used for men with organic or treatment-resistant psychogenic impotence who suffer from erectile dysfunction. A penile prosthesis is also used in the final stage of plastic surgery phalloplasty to complete female to male gender reassignment surgery as well as during total phalloplasty for adult and child patients that need male genital modification.)
Hi, A few years ago on tv there was some intresting programs about some odd things we get and peyronie's, all put right by a very robust female surgeon, this drug will help with erection but not a cure, but what a waste just masturbating when he could be making love to you, me thinks its time to get him to the docs and take it from there, tell him its for the marrage if he wants it to work better.
I worked for a urologist several yrs ago who specialized in Peyronies disease and I don't recall him ever prescribing Levitra or any other ED med for it.