Curvature of the penis

Penile curvature is an erectile deformity caused by disproportionate anatomical structures of the penis and decreased tissue elasticity. During arousal, the penis does not stretch sufficiently, resulting in a bending of the organ away from the straight axis toward the affected side. In most cases, this condition is not accompanied by pain or specific discharge. Only a physician can diagnose the condition, so men are advised to see a urologist annually for preventative care.

The specialists at the K+31 Multidisciplinary Medical Center diagnose and treat erectile deformity. Thanks to their high level of professionalism and expert equipment, doctors completely eliminate the cosmetic defect and restore penile sexual function.

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Disease classification

Depending on the cause, deformities are divided into two types:

  • Congenital
  • Acquired

Congenital deformities are detected between the ages of 10 and 14, during puberty. A curved penis indicates an underdeveloped tunica albuginea, which causes disproportionate development of the corpora cavernosa. Lateral congenital curvature is most common.

Acquired penile curvature can be caused by Peyronie's disease. This pathology occurs due to the formation of fibrous plaques in the tunica albuginea. The disease does not negatively affect ejaculation or complicate urination, but it significantly impairs the quality of sexual activity.

Peyronie's disease is diagnosed in 0.6-1 case per 1,000 patients aged 30 to 55 years. Sudden improvement is observed in approximately 12% of men, while 65% of patients experience some degree of progression and 25-30% develop complications.

With Peyronie's disease, the penis can take on three distinct shapes:

  • Ventral – the glans points downward during erection. The man experiences pain.
  • Dorsal – the glans points upward during erection. This shape is diagnosed more frequently than others.
  • Lateral – the rarest shape, in which the penis deviates to either side.

Sometimes fibrous changes affect all parts of the penis simultaneously. In such cases, it becomes smaller or narrows, taking on an hourglass-like appearance.

Peyronie's disease has two distinct forms:

  • Acute – the disease develops due to inflammation in the tunica albuginea of ​​the corpora cavernosa. It lasts from 3 months to 1.5 years. It is characterized by gradual curvature of the penis, pain during erection, and discomfort in the genitals even at rest.
  • Chronic – accompanied by calcification of fibrous plaques and a cessation of their growth. A lump on the shaft of the penis is felt upon palpation.

Peyronie's disease is characterized by rapid progression. If a doctor is not consulted in the early stages, surgery will be required to treat significant penile damage.

Disease classification
Andranovich Stanislav Valerievich
Andranovich Stanislav Valerievich
Urologist, ultrasound diagnostics doctor
Experience: 29 years
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Kotov Sergey Vladislavovich
Kotov Sergey Vladislavovich
Deputy chief physician of K+31 for urology, chief urologist of K+31, urologist-andrologist, oncourologist, doctor of medical sciences, professor
Experience: 22 years
Doctor of Sciences, PhD, professor
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Sorokin Nikolay Ivanovich
Sorokin Nikolay Ivanovich
Head of the urology department, urologist, oncologist, oncosurgeon, doctor of medical sciences, professor
Experience: 24 years
Doctor of Sciences, PhD, professor
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Kamalov Armais Albertovich
Kamalov Armais Albertovich
Chief consultant in urology, urologist, doctor of medical sciences, professor
Experience: 42 years
Academician, professor, Doctor of Sciences, PhD
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Denshchikov Mikhail Borisovich
Denshchikov Mikhail Borisovich
Urologist
Experience: 26 years
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Survillo Igor Igorevich
Survillo Igor Igorevich
Urologist
Experience: 13 years
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Tereshchenko Suren Alexandrovich
Tereshchenko Suren Alexandrovich
Doctor urologist-andrologist
Experience: 28 years
Doctor of Sciences, PhD
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Medvedev Alexander Alexeyevich
Medvedev Alexander Alexeyevich
Urologist
Experience: 31 year
PhD
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Dzhabrailov Jabrail Abdulazizovich
Dzhabrailov Jabrail Abdulazizovich
Urologist, andrologist
Experience: 25 years
PhD
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Pshikhachev Ahmed Mukhamedovich
Pshikhachev Ahmed Mukhamedovich
Urologist, Oncologist
Experience: 23 years
Doctor of Sciences, PhD
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Gomberg Mikhail Alexandrovich
Gomberg Mikhail Alexandrovich
Dermatovenereologist
Experience: 43 years
Doctor of Sciences, PhD, professor
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Navruzbekov Gamzat Abdulkadirovich
Navruzbekov Gamzat Abdulkadirovich
The urologist
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Valeev Danil Ravilovich
Valeev Danil Ravilovich
Urologist
Experience: 6 years
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Dzhalilov Dmitry Olegovich
Dzhalilov Dmitry Olegovich
Urologist
Experience: 17 years
PhD
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Alferov Anton Sergeevich
Alferov Anton Sergeevich
Leading urologist, andrologist
Experience: 16 years
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Gabaraev Alan Petrovich
Gabaraev Alan Petrovich
Urologist, andrologist
Experience: 13 years
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Meshkova (Borodaykina) Daria Yurievna
Meshkova (Borodaykina) Daria Yurievna
Urologist
Experience: 10 years
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Nemenov Alexander Alexandrovich
Nemenov Alexander Alexandrovich
Urologist, oncologist (oncourologist)
Experience: 7 years
PhD
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Kosova Inga Vladimirovna
Kosova Inga Vladimirovna
Urologist
Experience: 23 years
Doctor of Sciences, Docent
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Penile curvature: causes of the pathology

Factors that contribute to the development of congenital deformity include:

  • Shortened urethral canal
  • Low initial concentration of sex hormones during fetal development
  • Severe maternal stress and anxiety
  • Taking hormonal medications
  • Alcohol abuse and smoking during pregnancy

Boys also have a risk of undescended testicles, which can ultimately contribute to penile deformity.

Causes of acquired penile curvature include:

  • Atherosclerosis
  • Diabetes mellitus
  • Connective tissue diseases
  • Arterial hypertension
  • Contusions, dislocations, and pinched penile injuries
  • Hereditary predisposition
  • Metabolic disorders
  • Injection of medications into the corpora cavernosa or under the skin of the penis
  • Diseases of the genitourinary organs

Autoimmune disorders, such as systemic lupus erythematosus, often lead to the development of acquired deformity. Myocardial pathology is also a risk factor.

Symptoms of penile curvature

In the early stages, the disease is asymptomatic. Clinical signs mainly appear with the appearance of fibrous plaques. In addition to noticeable penile deformity, men experience the following symptoms:

  • Pain during arousal, intercourse, and relaxation
  • Large or small lumps palpable
  • Decreased girth, indentation on the shaft
  • Erectile dysfunction
  • Stretching of the skin in the area of ​​large plaques

Pathological curvature leads to increased sensitivity of the penis, making it difficult to insert into the vagina. Emotional stress and psychological discomfort can deteriorate the patient's quality of life, which can lead to a complete abstinence from intimacy.

Potential complications

Erectile dysfunction can lead to serious complications. The swelling caused by fibrous tissue growth can compress blood vessels and impair blood flow to the corpora cavernosa. During arousal, these areas become denser, and salts are deposited in areas of impaired blood flow. Subsequently, the man develops erectile dysfunction, accompanied by persistent pain. If left untreated, impotence, leading to depression, is possible.

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General information

Diagnostics

Since the clinical presentation of penile curvature is quite specific, an experienced urologist can readily detect the deformity during an initial visual examination and palpation. To determine the degree of curvature, the size of the plaques, and their exact location, the patient is referred for ultrasound, CT, or MRI. A comprehensive diagnosis can reveal any interruptions in blood circulation through the cavernous bodies of the penis.

Diagnostics

Conservative treatment of penile curvature

In the early stages, a curved penis is treated with conservative methods. For this purpose, the doctor prescribes the following medications:

  • Oral medications (vitamin E, medications based on potassium aminobenzoate, tamoxifen, and colchicine)
  • Vascular and antiviral medications
  • Cytostatics
  • Immunomodulators
  • Topical solutions (active ingredients include interferon, lidocaine, lidase, and hydrocortisone)

Physiotherapy is recommended in conjunction with medication. Effective procedures include electrophoresis with lidase and chymotrypsin, and LOD therapy. Shock wave therapy, magnetic laser therapy, and PRP therapy have proven effective in treating deformities.

Этапы операций

How to straighten a penis surgically

If medical treatment fails to produce the desired result or the patient is diagnosed with chronic Peyronie's disease, the doctor performs surgery. The procedure lasts from 40 minutes to 2 hours.

Penis straightening can be performed under either local or general anesthesia. To straighten the penis, the doctor excises the affected area and replaces it with a graft.

Nesbit Procedure

Depending on the indications, the Nesbit procedure may be performed. During the procedure, a section of the tunica albuginea on the contralateral side is removed, followed by sutures. After the surgery, the tissues are evenly stretched during erection, and there is no deformation. The penis may also become slightly shorter.

Nesbit-Shcheplev Operation

The procedure is similar to the Nesbit operation. Since the penis becomes slightly shorter after the surgery, additional correction is performed. This is necessary if the penis is generally short. After the procedure, the patient stays in the hospital for one day and then returns home.

Phalloplasty

If the curvature exceeds 60 degrees and the penis takes on an hourglass shape, a full phalloplasty is performed using innovative prostheses. The man can independently control sexual arousal by squeezing the pump of the prosthesis, which is located in the scrotum. The penis size remains unchanged.

How to straighten a penis surgically

Preparation for surgery

Before surgery, the patient undergoes a comprehensive examination, including a number of tests:

  • Complete blood count and urine analysis
  • Blood chemistry, coagulation profile
  • Electrocardiography
  • HIV, syphilis, and hepatitis tests
  • Ultrasound
  • Fluorography

The doctor removes the sutures 10 days after the procedure. During this time, dressings must be changed daily.

Preparation for surgery

Post-surgical rehabilitation

For 7 days, the patient should avoid physical activity and heavy lifting. Visiting a sauna or taking a hot bath is prohibited. To relieve pain and reduce the risk of complications, analgesics and anti-inflammatory medications should be taken. Sexual activity can be resumed 1-1.5 months after a follow-up visit with a urologist.

To avoid complications, it is recommended to avoid mechanical injury to the penis and wear loose, natural underwear that does not restrict blood flow. It is important to promptly treat herpes and inflammatory diseases of the genitourinary organs.

Post-surgical rehabilitation

Benefits of penile curvature treatment at the K+31 medical center

The K+31 Medical Center offers patients minimally invasive and effective treatment without risks, discomfort, or lengthy recovery periods. The clinic provides optimal conditions for laboratory testing and guarantees an individualized approach to each patient.

The advantages of the K+31 multidisciplinary center include:

  • A full range of services – from initial consultation and examination to treatment and monitoring of the patient's condition during rehabilitation
  • Use of modern medical protocols for the diagnosis and treatment of urological diseases
  • Surgeries performed using the latest generation equipment
  • In-house laboratory that meets international quality standards
  • Convenient hours, no waiting lists
  • Consultations with related specialists
  • Attentive and friendly attitude of all staff

You can schedule an appointment with a doctor, undergo a comprehensive examination, and receive treatment recommendations using the feedback form. The administrator will explain how to straighten the penis using conservative and surgical methods, what promotions are available, and describe in more detail the diagnostic process. You can view the current price list for various procedures and read patient reviews on the medical center's website.

Benefits of penile curvature treatment at the K+31 medical center

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Reviews

An amazing doctor, professional and human being
28.05.2026
Aleksey G.
A very attentive and intelligent doctor.
28.05.2026
Viktor P.

About doctor:

Alferov Anton Sergeevich

Many thanks to Dmitry Olegovich!!! For believing in yourself!!!
25.05.2026
Valeriy A.
The Doctor is from God
22.05.2026
Vladimir S.
Doctor Medvedev AA on 5 plus!
21.05.2026
Konstantin U.
I would like to express my gratitude for the operation.: 1. You got into my position as much as possible and adjusted to my requests – not just to get out of work. 2. Managers Valeria and Tatiana took a very careful and responsible approach to solving organizational issues: they chose the most convenient time for tests, research and consultations of specialists with a minimum number of visits to the Clinic, perfectly organized hospitalization and all related issues, including payment and living conditions 3. The payment for the deposit was made very accurately, there were no additional "hidden" payments, etc. 4. Well, the medical staff was excellent, they did everything at the highest level – thanks to S.V. Kotov, N. I. Sorokin and M. B. Denshchikov. I have never seen such care and attention anywhere before Thank you very much!
21.05.2026
Mihail L.
Everything is normal. Little by little, slowly, slowly, it's getting better. Knocking on wood! If someone had told me that on the fifth day after the operation I would be able to walk my dog, I would not have believed in such a miracle. The photo is right now!! I bow low to you and Sergey Vladislavovich. Your team is amazing! With respect and gratitude
21.05.2026
Vadim D.
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