Peyronie disease awareness
Informed by recognized medical guidance
Overview
Peyronie disease is a condition where scar tissue, called a plaque, forms inside the penis. This plaque can cause the penis to bend or curve when it becomes erect. The curve can be upward, downward, or to one side. It can also cause pain and make erections harder or shorter. It is not cancer or an infection, and it is not spread to a partner.
Key facts
- Peyronie disease is not a sexually transmitted infection.
- The condition can cause anxiety and affect intimacy, but treatments are available.
- In some people, the condition may improve on its own over 6 to 12 months.
Peyronie disease is not rare. It affects about 1 in 100 men, though many may not seek help. It becomes more common with age.
Peyronie disease mainly affects men, most often between ages 40 and 60. However, it can occur in younger men as well. It is more common in men with certain health conditions like diabetes, high blood pressure, or a history of injury to the penis.
Symptoms
- Sudden, severe pain in the penis that does not go away
- Inability to urinate (pee) at all
- ⚠New and severe curvature that prevents any sexual activity
- ⚠Sudden loss of erection that lasts for hours (priapism) – seek same-day care
Common symptoms
- A bend or curve in the erect penis
- Pain during erections, especially early on
- A lump or hard spot on the shaft of the penis
- Erections that are shorter, narrower, or less firm
- Difficulty with sexual intercourse due to the curve
Symptoms in children
- Peyronie disease is extremely rare in children. Boys who notice curvature may have a different condition called congenital penile curvature. If you are concerned about your child, speak with a doctor.
Symptoms in older adults
- Older adults can develop Peyronie disease, often linked to aging tissues and other health conditions like diabetes. The symptoms are the same as in younger men, but older men may also have erectile dysfunction.
Causes
Main causes
- Repeated minor injury or trauma to the penis, often during sexual activity or sports
- Abnormal healing after injury, leading to scar tissue formation
- Genetic factors that make some men more prone to scarring
Risk factors
- Age (more common in men over 40)
- Diabetes
- High blood pressure
- Smoking
- Certain connective tissue disorders (like Dupuytren's contracture)
When to see a doctor
See a doctor urgently if:
- If you suddenly cannot pass urine
- If you have severe penile pain that comes on quickly
Book a routine appointment if:
- If you notice a curve or lump in your penis that bothers you
- If you have pain during erections that does not go away
- If the condition affects your sex life or mental well-being
Diagnosis
A doctor will ask about your symptoms and examine your penis, both when it is soft and when it is erect (sometimes using a photo you take at home). They may also ask about your medical history and any injuries.
Tests that may be done
- Physical exam to feel for a plaque or lump
- Ultrasound scan to see the plaque and measure the curve
- Erection imaging (sometimes a special injection to create an erection) to assess the curve more accurately
What to expect at your appointment
The diagnosis is usually straightforward. The doctor will explain the degree of curvature and discuss options. Tests are not painful and are done in a clinic.
Treatment
Treatment depends on the severity of symptoms and whether the condition is getting better or worse. Many men improve without treatment within a year. Treatment aims to reduce pain, improve the curve, and help you have satisfying sex.
Self-care at home
- Be patient; the condition may stabilize or get better on its own within 12 months.
- Use gentle stretching exercises as recommended by a doctor or therapist.
- Avoid vigorous sexual activity or further injury during the early painful phase.
Medical treatments
Doctors may recommend non-medication approaches like traction devices or vacuum pumps. There are also oral medications and injections that can help break down scar tissue or reduce inflammation, but these should only be used under a doctor's supervision. Never take any medication without a prescription. Always discuss options with your healthcare provider.
When is surgery considered?
Surgery is considered if the curve is severe, if erections are very difficult, if pain persists for more than 12 months, or if non-surgical treatments have not helped. Surgery can straighten the penis, but it carries risks and is usually a last resort.
Living with this condition
Peyronie disease can be frustrating and affect your confidence. It is important to talk openly with your partner and your doctor. Most men can continue normal activities, including sex, if it is comfortable.
Lifestyle tips
- Quit smoking – it can worsen scarring.
- Manage diabetes and high blood pressure with your doctor.
- Avoid activities that might cause penile injury.
Diet and exercise
A heart-healthy diet (lots of vegetables, whole grains, and lean proteins) may help overall healing. Gentle exercise like walking is fine. Ask your doctor before starting any new exercise program.
Mental health and emotional wellbeing
It is normal to feel embarrassed or anxious about changes to your penis. This can affect your mood and relationships. If you are feeling down or anxious, talk to a counselor or your doctor. Support is available.
Prevention
There is no guaranteed way to prevent Peyronie disease. However, avoiding injury to the penis (such as during sports) and managing health conditions like diabetes may lower the risk. If you notice any changes, early care can prevent progression.
Screening programmes
There is no routine screening for Peyronie disease. You should see a doctor if you notice any changes.
Complications
If left untreated
- Permanent curvature that may make sex difficult or impossible
- Erectile dysfunction (trouble getting or keeping an erection)
- Shortening of the penis
- Anxiety, depression, or relationship problems
Long-term outlook
The outlook for Peyronie disease is generally good. Many men improve without treatment, and modern treatments can help even in long-standing cases. With the right care and support, most men can return to a satisfying sex life.
Find support
International organisations
- International Society for Sexual Medicine (ISSM)
- Sexual Medicine Society of North America (SMSNA)
Local organisations
- Your local urology department or hospital
- NHS website (for UK residents) · United Kingdom
Helplines
External links open third-party websites. Ruqelo Health is not responsible for external content. Listing an organisation does not imply endorsement.
Always verify with your doctor
Health guidelines vary by country and region. The information in this article is based on international clinical guidelines but may not reflect the specific guidelines, medications, or practices in your country. Always discuss your health concerns with your own doctor or healthcare provider, and refer to your local national health guidelines where available.
Important notice This information is for educational purposes only. It does not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider about your specific situation. If you are experiencing a medical emergency, call your local emergency services immediately.
Sources and guidance
This article is educational and is prepared with reference to recognized health information and clinical guidance sources where available. Specific source links may vary by topic.
Last updated: July 16, 2026
Educational note: This information is for education only and is not a diagnosis.
Use it to support, not replace, advice from a licensed clinician.
If symptoms are severe, worsening, or urgent, call your local emergency number or seek emergency care.