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Hello,Policy. You can manage your preferences in 'Manage Cookies'. OK Manage Cookies Skip to main content MENU  SearchLogin How curved is too curved? The severity of penile deformity may predict sexual disability among men with Peyronie’s disease We’d like to understand how you use our websites in order to improve them. Register your interest. Published: 24 January 2013 How curved is too curved? The severity of penile deformity may predict sexual disability among men with Peyronie’s disease T J Walsh,  J M Hotaling,  […] J F Smith  International Journal of Impotence Research volume 25, pages109–112(2013)Cite this article 9191 Accesses 22 Citations 2 Altmetric Metricsdetails Abstract Peyronie’s disease (PD) is caused by progressive fibrotic scarring of the tunica albuginea resulting in curvature or other deformities of the erect penis. The severity of penile curvature or other deformity may contribute to a man’s inability to have intercourse (sexual disability), due to difficulty with penetration, partner pain or emotional stress. To determine whether the degree of curvature or type of penile deformity predicts sexual disability among men with PD. This cross-sectional analysis of consecutive men evaluated for PD at a single tertiary referral center used a PD-specific questionnaire to evaluate risk factors for sexual disability in men with PD, who did not have erectile dysfunction (ED). Multivariate logistic regression was used to determine the clinical predictors of sexual disability. Sexual disability as defined by the inability to have penetrative intercourse. A total of 202 men were evaluated and 88 men with ED were excluded. Sexual disability was associated with relationship problems, penile curvature and penile length loss in bivariate, but not multivariate analysis. We found that although many of the demographic, medical and sexual function domains were significant predictors of inability to have sex, the only significant predictor of sexual disability in multivariate analysis was curvature>60° (odds ratio 3.23 95%CI 1.08–9.67). PD can be sexually disabling in many men without ED. Severe penile curvature is a robust independent predictor of the ability to have intercourse. Other penile deformities fail to predict sexual disability. This is important for counseling patients with newly diagnosed PD and those who are considering medical or surgical intervention. Download PDF Introduction Peyronie’s disease (PD) is a poorly defined localized connective tissue disorder caused by progressive fibrotic scarring of the tunica albuginea of the corpora cavernosa, resulting in curvature or other deformities of the erect penis.The prevalence of PD is estimated at 3.7–7.1% of men and as high as 16% in men undergoing evaluation for erectile dysfunction (ED)