Penile Curvature Explained – Choosing Safe, Evidence-Based Solutions

Penile curvature, or Peyronie’s disease, occurs when fibrous plaque forms within the penile tissue, causing bending during erection.
While mild curvature is common and harmless, progressive or painful curvature can affect confidence, sexual function, and partner intimacy.

At Androhaus, our focus is to differentiate natural variation from medical concern, assess the exact cause, and provide evidence-based, discreet treatments — never unverified devices or online shortcuts.

Clinical Evaluation

Diagnosis begins with detailed assessment to determine the type, severity, and stability of curvature:

  • Physical examination and curvature measurement during an induced erection

  • Penile ultrasound to detect plaque, calcification, and blood-flow quality

  • Evaluation of related conditions (e.g. diabetes, smoking, Dupuytren’s contracture)

Accurate classification between acute (painful) and chronic (stable) phases determines the right treatment pathway.

Evidence-Based Treatments

1. Non-Surgical Options

• Collagenase Clostridium histolyticum (CCH) Injections
The only FDA-approved therapy for Peyronie’s disease. It enzymatically softens collagen within the plaque to reduce curvature.

• Traction Devices (Penile Stretchers)
When used under clinical supervision, traction therapy gradually remodels the tissue.
Studies show 10–20° curvature reduction with daily use (30–90 minutes).
✅ Always select CE-marked or medically certified devices; avoid unregulated gadgets that apply uneven pressure.

• Shockwave Therapy
Primarily helps with pain reduction and improved blood flow in early stages — not a plaque-removal treatment.

• Oral and Topical Therapies
Agents like Vitamin E, pentoxifylline, and CoQ10 show mild benefits but limited scientific proof. These are supportive, not curative.

2. Surgical Interventions

For severe curvature (>60°) or complex deformity, surgery may be necessary:

  • Plication (Nesbit Procedure): Shortens the opposite side for straightening.

  • Plaque Incision and Grafting: Preserves length but carries a higher risk of postoperative ED.

  • Penile Prosthesis: For men with Peyronie’s and coexisting erectile dysfunction unresponsive to medication.

All surgeries require careful pre-operative vascular and hormonal assessment.

How to Choose a Safe Device

With many traction devices marketed online, safety comes from certification and design. Choose:

  • CE-marked / FDA-cleared products

  • Uniform tension control and soft silicone bases

  • Clinical trial backing or urologist recommendation

⚠️ Avoid devices promising “quick fixes,” suction-based systems, or excessive force — these risk bruising, nerve injury, and even vascular rupture.

Lifestyle and Prevention

Factors that impair healing and blood flow — smoking, diabetes, high cholesterol — increase the likelihood of plaque formation.
Maintaining vascular health keeps penile tissue elastic and reduces inflammation.
Gentle technique, proper lubrication, and avoiding trauma during intercourse also help prevent micro-tears that trigger scarring.

When to Seek Professional Help

Consult a specialist if you notice:

  • Increasing or painful curvature

  • Difficulty maintaining erections

  • Curvature that prevents intercourse

  • Anxiety or distress about appearance

Ignoring Peyronie’s disease can lead to permanent fibrosis, making correction more difficult later. Early intervention yields the best results with minimal invasiveness.

The Androhaus Approach

At Androhaus London, our clinicians combine:

  • Vascular and hormonal assessment

  • Plaque imaging

  • Certified traction and collagenase therapy

  • Shockwave therapy for vascular optimisation

  • Surgical referral when appropriate

Our goal is to restore both function and confidence safely — through medical integrity, not gimmicks.

Penile curvature is common and treatable. With professional evaluation and certified treatment, most men can recover full sexual function and peace of mind.

Key Takeaway

If your erection isn’t as straight or firm as before, don’t rely on online shortcuts.
The right solution lies in accurate diagnosis, vascular optimisation, and evidence-based therapy.
At Androhaus, men receive discreet, science-led care — helping them regain confidence with clinical precision.

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