Penile curvature is most often due to Peyronie’s disease. However, it may be a congenital curvature or chordee in association with hypospadias. Trauma may give rise to a Peyronie’s plaque, but can also cause disruption of the penile suspensory ligaments to give an appearance of angulation. Only more mature, harder plaques may be palpable and photographs are often helpful, or the degree of angulation can be seen after intracavernosal injections in the clinic. Ultrasound may miss minor plaques and MRI may be helpful to assess complex plaques or suspensory ligaments.