Having a curve in your penis is not cause for alarm. However, when the bend is significant, causes pain when erect, and interferes with sexual intercourse, you’ll want to see your doctor about it.
Penile Curvature Causes
Peyronie’s disease produces those three telltale symptoms. It is caused by repeated injury to the penis, which creates a buildup of scar tissue inside the shaft of the penis and causes a painful curved erection. While the pain may go away without treatment, the buildup of fibrous plaque inside the shaft won’t, so the curvature will remain and may actually worsen until the condition is treated.
It is a more common condition than you might expect. An estimated 1 in 11 men are affected by Peyronie’s disease.
Peyronie’s Disease Treatment Options
The type of treatment that’s right for you will depend on the severity of the curvature and other symptoms.
Noninvasive and minimally invasive methods of treating penile curvature include:
- Oral medications may be recommended in some cases. These may include calcium channel blockers to relax blood vessels and supplements like aminobenzoate potassium.
- Penile injections of Xiaflex®, an enzyme that breaks up collagen, are given into the shaft of the penis, with the aim of dissolving the plaque causing the curvature.
- Penile modeling involves the use of gentle pressure on an erect penis to relieve tight penile tissue and stretch the penis in order to break up the plaque buildup and straighten the curvature. This is typically done in conjunction with penile injections and/or penile implants.
- Nesbit Procedure. This surgery involves folding and stitching small areas of tissue opposite the curvature to straighten the penis.
- Penile Implant. For men who also have erectile dysfunction in addition to Peyronie’s disease, a penile implant can help straighten the penis and make it firm enough for sexual intercourse.
- Plaque Relaxing Incision With Graft. In this procedure, the surgeon cuts into the plaque buildup and replaces it with a tissue graft.