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
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
Experience: 24 years
Doctor of Sciences, PhD, professor
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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
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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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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.

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.

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.

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.

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

I want to thank the doctor for the professional operation. Everything went smoothly, carefully, and without unnecessary stress. The doctor explained each step in detail and was always available during the recovery period. His very attentive and humane attitude is especially valuable.
26.01.2026
K. Alan Vladimirovich

About doctor:

Gabaraev Alan Petrovich

Akhmedkhan Mukhamedovich masterfully performed a renal cell carcinoma resection. A modest, wonderful man.
15.01.2026
B. Vitaly Vladimirovich
A huge thank you to Anton Sergeevich Alferov for his attention to his patients. He is a true professional.
14.01.2026
Olga

About doctor:

Alferov Anton Sergeevich

Wonderful doctor, I am very grateful to him.
21.12.2025
T. Alexandra Alexandrovna
I have chronic pain and struggled for a long time to find a competent doctor. But fate finally took a pity and I was referred to Daria Yuryevna. I can confidently recommend her doctor because she has developed a treatment plan that makes me feel comfortable and relaxed, and I'm already starting to feel the first results. Daria Andreyevna is an effective professional in her field, and I am very grateful to her for everything she does.
05.12.2025
Lyubov Ivanovna
I'm glad I went to a private medical center. Before that, I'd gone to a city clinic, but I had no luck with the doctor there. I was in excruciating pain, but I didn't get much attention there. At my appointment with Mikhail Borisovich, however, I received a thorough examination! And it turned out my diagnosis was much more severe than I'd been given before. I even had to undergo surgery, which I was very afraid of. But Mikhail Borisovich supported me and made me believe it would truly improve my life. And he was right – after the rehabilitation, I feel 100% healthy. Thank you for your professionalism in everything, Mikhail Borisovich!
05.12.2025
Yulia Sergeevna
I'm 19 years old. I went to see Igor Igorevich for congenital phimosis. During my appointment, the doctor explained everything about my situation and the possible treatment options. The most important thing for me was that the explanations weren't in arcane medical jargon, but in layman's terms. Ultimately, I had surgery. The postoperative period was uneventful, and the doctor was always available via instant messaging. Now that's what I call a modern doctor!
05.12.2025
Nikolay

About doctor:

Survillo Igor Igorevich

I had a difficult case – a tumor that was very difficult to operate on, and if it failed, I would have lost the kidney. But Sergey Vladislavovich took on the case, and what's more, he set me up for success. And that's exactly what happened! My recovery was quick, and now I can live a normal life. A huge thank you to Sergey Vladislavovich and the entire medical staff for literally saving lives and giving them a second chance at a happy life.
05.12.2025
Igor Konstantinovich
Nikolai Ivanovich Sorokin performed the stone removal surgery. Postoperative examinations showed complete clearance! The surgeon was finally able to rid me of the bladder growths I'd been struggling with for a year. I'm very grateful to Nikolai Ivanovich for the work he did.
05.12.2025
Sergey
I went to the doctor because my sperm analysis results weren't very good. They started running diagnostic tests and discovered I had bilateral varicoceles. It was decided to perform surgery. Throughout our entire conversation, Mikhail Borisovich never gave me any doubt that we would definitely solve my problem. As a result, after a month of rehabilitation, I no longer feel any discomfort and am looking forward to the scheduled appointment to have my tests done again.
05.12.2025
Rostislav
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