Peyronie’s disease is a condition in which scar tissue, known as plaque, develops inside the penis, causing it to bend or curve during erections. While a mild curve is normal and harmless, Peyronie’s disease can result in significant curvature, pain, and difficulty with sexual intercourse.

This condition can develop gradually or appear suddenly, and it may worsen over time. Although the exact cause is not always known, it is often associated with trauma or injury to the penis.

At Golden Gate Urology, we understand how Peyronie’s disease can affect both physical and emotional well-being. Our team offers compassionate care and advanced treatment options to help restore sexual function and confidence. Talk to your doctor if you notice any changes in the shape or function of your erections.

Request an Appointment

Causes

Peyronie’s disease occurs when fibrous scar tissue forms inside the penis, preventing it from expanding evenly during an erection. This results in curvature, narrowing, or even shortening of the penis.
Common causes and risk factors include:

  • Trauma or injury to the penis during sex, sports, or accidents
  • Repeated minor injuries over time
  • Genetic predisposition — family history of Peyronie’s disease or Dupuytren’s contracture
  • Connective tissue disorders
  • Age — risk increases with age due to changes in tissue elasticity
  • Certain health conditions, including diabetes and high blood pressure

In some cases, no clear cause can be identified.

Diagnosis

Your doctor can usually diagnose Peyronie’s disease with a medical history and physical exam.
You may be asked about:

  • When you first noticed the curve
  • Whether you experience pain, erectile dysfunction, or difficulty with intercourse
  • Any history of penile injury

Tests may include:

  • Penile ultrasound to assess blood flow and locate scar tissue
  • Photographs of the erect penis (provided by the patient) to evaluate the degree of curvature

These assessments help guide the appropriate treatment plan.

Treatment

Treatment for Peyronie’s disease depends on how severe the curvature is, whether pain is present, and how much it interferes with sexual function.
Options include:

  • Observation: Mild cases that don’t cause pain or functional problems may not require treatment.
  • Medications: Oral or injectable medications to reduce scar tissue and improve curvature.
  • Traction therapy: A mechanical device that gently stretches the penis to improve length and curvature over time.
  • Surgery: In severe cases, surgical procedures can straighten the penis or remove/repair scar tissue.

Your doctor will discuss the risks, benefits, and expected outcomes of each option with you.

FAQs

What are the symptoms of Peyronie’s disease?

A noticeable curve or bend in the erect penis, pain during erections, lumps or hard areas under the skin, and sometimes erectile dysfunction.

Is a curved penis always Peyronie’s disease?

Not necessarily. Mild curvature can be normal. Peyronie’s disease is suspected when the curvature is significant, painful, or interferes with sex.

Does Peyronie’s disease go away on its own?

In some cases, the condition stabilizes or improves slightly, but it often persists and may require treatment if bothersome.

How is Peyronie’s disease treated without surgery?

Non-surgical options include medications, traction therapy, and observation for mild cases.

When should I see a doctor?

If you notice a new or worsening curve, pain, lumps, or difficulty having intercourse, make an appointment for evaluation.