Peyronie's Disease

What are the symptoms of Peyronie’s disease?

The primary symptom of Peyronie’s disease is a curve or bend in your penis. You may also be able to feel scar tissue under the skin.

Other symptoms of Peyronie’s disease include:

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• A loss of length in your penis.
• Loss of girth in your shaft, which may look like an indent or have an hourglass shape.
• Lumps in your penis.
• Painful erections.
• Softer erections.
• Difficulty having sex for you or your partner.
• Pain while having sex (dyspareunia).

Peyronie’s disease symptoms may develop quickly or over a long period of time. Pain tends to decrease over time, but the bend in your penis can cause complications. If you have a bend in your penis greater than 30 degrees (which looks like when the hands of an analog clock read 1:00), it can make sex painful or impossible.

Does Peyronie’s disease hurt?

Yes, Peyronie’s disease can be painful. Pain most commonly occurs during the acute stage. But it may continue in the chronic stage. The severity varies from person to person.

What does Peyronie’s disease look like?

In most cases, the scar forms on the top of your penis, causing it to curve upward when you have an erection. Your penis will bend downward if the scar is on the bottom and sideways if the scar is on the side.

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In some cases, the scar develops on both the top and bottom of the penis shaft. This “dents” your penis and makes it shorter. In other cases, the scar goes all the way around your penis. This makes your penis narrow, like the neck of a bottle or the center of an hourglass. About 1 in 3 people who have Peyronie’s disease have calcium in the scar tissue. This can make your penis feel like a bone.

What causes Peyronie’s disease?

The cause of Peyronie’s disease isn’t always clear.

Some researchers believe scarring occurs after an injury to your erect penis — usually abnormal bending during sexual intercourse. However, up to 80% of people with Peyronie’s disease don’t remember a specific event that preceded changes to their penises. These changes may happen as a result of small, unrecognized injuries that occur during regular sexual intercourse. People who have Peyronie’s disease may have a higher risk of developing too much scar tissue in response to these small injuries.

Not all people who injure their penises get Peyronie’s disease, so there may be genetic or environmental factors that play into it.

Is Peyronie’s disease contagious?

No, Peyronie’s disease isn’t a sexually transmitted infection (STI) and it isn’t contagious.

Who does Peyronie’s disease affect?

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Anyone with a penis can get Peyronie’s disease. However, the following risk factors may increase your chances of getting it:

• Age. You’re more likely to get Peyronie’s disease as you get older. It occurs in about 10% to 15% of people between 40 and 70 years of age.
• Genetics. You may be more likely to get Peyronie’s disease if you have a biological family member who has it, such as your father or brother.
• Connective tissue disorders. Connective tissue disorders that have a greater risk of Peyronie’s disease include Dupuytren contracture, plantar fasciitis and scleroderma.
• Erectile dysfunction (ED). People with diabetes-related ED are four to five times more likely to get Peyronie’s disease.
• Prostate cancer. Surgical treatments for prostate cancer increase your risk of Peyronie’s disease.
• Autoimmune diseases. If you have an autoimmune disease like lupus, you’re more likely to get Peyronie’s disease.

What are the complications of Peyronie’s disease?

Changes to your penis can affect your mental and emotional health. These may include:

• Depression.
• Anxiety.
• Unfairly focusing a lot on your physical appearance (body dysmorphic disorder).
• Feelings of shame.
• Low self-esteem.
• Fear of rejection or intimacy.

Does Peyronie’s disease cause erectile dysfunction?

Yes, Peyronie’s disease can cause erectile dysfunction. The penile plaque or scar tissue can interfere with how your penis stores an adequate amount of blood during erection. This results in an inability to get or maintain an erection that’s hard enough to have intercourse.

Does Peyronie’s disease make your penis smaller?

Yes, severe Peyronie’s disease can shorten your penis.

How much length do you lose with Peyronie’s disease?

The amount of length that you lose depends on how severe your penile curve is. Severe Peyronie’s disease can decrease the length of your penis from 0.5 cm (about 50 sheets of paper stacked on top of each other) to 1.5 cm (about 150 sheets of paper).

Will Peyronie’s disease keep me from having sex?

It depends on the severity of your Peyronie’s disease. In some cases, you can have sex but it may be difficult or painful for you or your partner. The greater the curve in your penis, pain or degree of erectile dysfunction, the more difficult it is to have intercourse.

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