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While both conditions involve a curved penis, there are important distinctions between Peyronies disease and congenital penile curvature: Peyronies Disease Key Characteristics It develops later in life, typically in men aged 50-60 Caused by scar tissue (plaque) formation in the penis Usually curves upward or to the side Can cause pain during erections May lead to penis shortening and erectile dysfunction Affects approximately 6-9% of men Congenital Penile Curvature Key Characteristics Present from birth or noticed during teenage years No scar tissue involvement Typically curves downward or slightly sideways Does not cause painful erections Curvature remains stable over time Affects less than 1% of men