Acquired Penile Curvature / Peyronie’s Disease

Peyronie's Disease

Acquired penile curvature / Peyronie's Disease, is when you have previously had a straight penis in the erect state, but a curvature started developing at some point in time.

Peyronie's disease is the deposition of inelastic tissues, usually to rebuild and bridge a gap at the site of injury, whether you know of or you don't, since it may be very subtle but repetitive, due to slight bending of the erect penis upon pressure, during intercourse.  Fibrous tissue in the penis leads to shortening, curvature and loss of erection in some cases, being inelastic. Fibrosis may also occur due to repeated use of intra corporal injection for the treatment of erectile dysfunction. Diabetes is a common predisposing factor.

In Peyronie's disease, inelastic fibrous tissue is deposited on the walls (tunica albuginea) of the erection cylinders (corpora cavernosa). The fibrous tissue deposits are called "Peyronie's Plaques".

Peyronie's-plaque

So I have Peyronie's Disease. What do I do?

Peyronie's disease assumes a progressive course over one to two years, with some pain in the penis and increasing curvature and shortening. After one to two years, it stabilizes and progresses no more, and pain fades away. Before stabilization, medical treatment is advised to limit progression. After stabilization, surgery can be resorted-to, to correct the resultant deformity, if necessary.

Surgical treatment depends on the degree of deformity, and whether or not it is associated with erectile dysfunction.

If associated with severe erectile dysfunction, or if penile curvature is too severe, penile prosthesis implantation is warranted along with correction of curvature. If not, and erection is rigid and the problem is only penile curvature, surgical correction is performed by one of two methods, depending on the degree of curvature:

Mild to moderate, with adequate length: Correction of penile curvature by Shortening Techniques

Moderate to severe penile curvature: Incision and Grafting Technique

Any of those technique can be coupled with surgical elongation of the penis

Penile Prosthesis Surgery

Shortening Techniques

Incision and Grafting