Management depends on more than the angle of curvature; stability, functional impact, erectile function and individual concerns are assessed together.
On this page
Types of penile curvature
Curvature may be congenital or may develop later because of Peyronie’s disease. Peyronie’s disease can involve a palpable plaque, pain, shortening or a new change in shape.
Assessment
The history includes onset, pain, progression, effect on intercourse and erectile function. Examination assesses plaques, length and deformity. Erection photographs or an induced erection may be needed to document the curve; Doppler ultrasound is reserved for selected cases.
Non-surgical options
Appropriate pain relief may be considered during the active phase. Traction or vacuum devices may be discussed for selected patients, with clear explanation of the limited evidence. ESWT may be used for pain but is not recommended to straighten the penis. Not every oral or injectable treatment is routinely supported by evidence.
When is surgery considered?
Surgery is generally considered after the condition has stabilised and when the deformity causes meaningful functional difficulty. Shortening procedures, grafting techniques or prosthesis-based correction in selected men with erectile dysfunction are chosen according to length, deformity and erectile function. Risks include shortening, altered sensation, erectile dysfunction and recurrent curvature.
When should medical assessment be considered?
This page provides general information and does not replace diagnosis, examination or individual medical advice. New, recurring or concerning symptoms should be assessed by a qualified physician.
Sources1 source
European Association of Urology · 2026
EAU Guidelines on Sexual and Reproductive Health: Penile Curvature