During sexual arousal, blood flows into spongelike spaces inside the penis, making it expand and become stiff. A bent penis tends to happen when these spaces don't expand evenly. Most often, this is due to common differences in penis anatomy. But sometimes, scar tissue or another problem causes a bent penis and painful erections.

Causes of a bent penis can include:

1. Changes before birth — Some people are born with an issue that causes the penis to curve when erect. Often, it's due to a difference in the way certain fibrous tissue inside the penis develops.
2. Injuries — The penis can get fractured during sex or injured from sports or other accidents.
3. Peyronie's disease — This happens when scar tissue forms under the skin of the penis, causing erections to bend. Penis injuries and certain urinary tract surgeries can raise the risk of Peyronie's disease. So can some conditions that affect connective tissue and certain diseases in which the immune system attacks healthy cells.