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Penile curvature (Peyronie's disease) is a common health problem that can negatively affect men's quality of life. This condition can cause pain in the penis, deformity during erection, and difficulty during sexual intercourse. Penile curvature is often caused by scar tissue that forms under the tissue, and this condition can often be due to a variety of causes, such as trauma, genetic factors, or connective tissue diseases. If left untreated, it can have both physical and psychological consequences and can seriously affect sexual life. Fortunately, modern medicine and technology offer effective and innovative methods for treating penile curvature.

What is Penile Curvature?

Penile curvature is a condition in which the penis is abnormally bent to one side, especially during erection. This curvature can range from a mild deformity to a form so severe that sexual intercourse is nearly impossible. Also known as Peyronie's disease, this condition is usually caused by a hard plaque that forms on one area of the penis. These plaques cause the penis tissue to lose its elasticity, causing the curvature.

Although Peyronie's disease can be seen in all age groups, it is more common in men of middle age and older. The incidence of the disease is approximately 10%, and this rate may increase with age.

Causes of Penile Curvature


Although the exact cause of penile curvature is not known, some conditions may be effective in the development of the disease:

Microtraumas : Repetitive minor traumas occurring on the penis during sexual intercourse or as a result of accidents can lead to scar tissue formation.

Genetic Factors : This condition is observed more frequently in individuals with a family history of Peyronie's disease.

Connective Tissue Diseases : People with connective tissue disorders such as Dupuytren's contracture have a higher risk of developing penile curvature.

Aging : As we age, the decrease in tissue elasticity and the slowing down of the healing process may pave the way for penile curvature.


Symptoms of Penile Curvature


Penile curvature may present different symptoms depending on the severity of the disease:

• Curvature or deformity in the penis that becomes apparent during erection

• Feeling of hard plaques on the penis

• Pain during or after erection

• Feeling of difficulty or discomfort during sexual intercourse

• Decrease in the quality of erection or erectile dysfunction


Penile Curvature Treatment Methods


In the treatment of penile curvature, the stage of the disease, its severity and the individual needs of the patient are taken into account. Treatment options range from conservative approaches to surgical interventions.


1. Drug Treatments


In the early stages of penile curvature, drug treatments can be used to shrink scar tissue and reduce pain. Medications taken orally or injected into the plaque area can be effective in stopping the progression of the disease.


2. ESWT (Shock Wave Therapy)


Extracorporeal Shock Wave Therapy (ESWT) is a non-invasive method used to treat penile curvature. High-energy sound waves help break up plaque tissue while also accelerating the tissue's healing process.


3. P-Shot (Platelet Rich Plasma)


P-Shot, also known as PRP treatment, is applied by injecting plasma rich in growth factors obtained from the patient's own blood into the problem area. This method supports the healing of scar tissue and increases blood flow in the penis.


4. Surgical Treatments


In cases of severe penile curvature, surgical interventions may be necessary. Surgical methods aim to remove scar tissue, straighten the penis, or lengthen the penis that has shortened due to curvature. Applied techniques include suturing (plication), grafting, and prosthesis implantation.


What Should Be Considered When Choosing Treatment?

In the treatment of penile curvature, it is of great importance to evaluate the patient's individual needs and expectations. The treatment process should be carefully planned by a specialist urologist/andrologist. Each treatment option is determined according to the stage of disease progression, the patient's general health status and lifestyle.


Penile curvature is a serious disorder that can affect both the physical and psychological health of men. However, today, there are many effective treatment options available, from minimally invasive methods to surgical interventions. You can contact our experts to get information about penile curvature and other andrological problems.

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