Peyronie disease is a scar, called a plaque, in the penis that makes it bend, hurt or become shorter during erections. It is not cancer and it does not spread to a partner. Pain usually settles first and the curve then becomes stable. A urologist then chooses between observation, medicines, traction, injections or surgery.
What is Peyronie Disease?
Peyronie disease is a condition in which scar tissue, also called plaque, develops within the penis and can cause curvature, pain, shortening, indentation, and difficulty with intercourse. Symptoms can change over time, so evaluation by a urologist helps decide whether observation, medicines, traction, injections, or surgery may be appropriate.
Signs & Symptoms of Peyronie's Disease
Key Symptoms
- The penis may bend upward, downward, or to the side during erections.
- Pain can occur during erections, but sometimes it is also present without an erection.
- Scar tissue, or plaque, can be felt under the skin of the penis. It might feel like a flat lump or a band of hard tissue.
- Difficulty achieving or maintaining an erection can occur.
- The length of the penis may decrease due to the curvature.
- Some men may notice a narrowing of the penis, causing an hourglass-like appearance.
Causes of Peyronie's Disease
The exact cause of Peyronie's Disease is not fully understood, but several factors are believed to contribute:
Possible Causes
- Trauma or Injury: Repeated injury to the penis, often from vigorous sexual activity or physical activity, can lead to scar tissue formation.
- Genetics: A family history of the disease increases the risk.
- Connective Tissue Disorders: Conditions such as Dupuytren's contracture, which affects the hands, are associated with Peyronie's Disease.
- Aging: The condition is more common in men over 50.
Treatment Options
- Oral Medications: Vitamin E, potassium aminobenzoate, and others have been used, but evidence of their effectiveness is limited.
- Injectable Medications: Collagenase clostridium histolyticum (Xiaflex) is FDA-approved to break down the collagen causing the curvature.
- Penile Traction Therapy (PTT): Devices that stretch the penis over time can reduce curvature.
- Shockwave Therapy: Low-intensity shockwaves may help break down scar tissue, though more research is needed.
- Nesbit Procedure: Removing or pinching tissue from the longer side to straighten the penis.
- Plication Surgery: Shortening the side opposite the plaque.
- Grafting: Removing the scar tissue and using a graft to cover the defect.
- Penile Implants: For men with severe Peyronie's Disease and erectile dysfunction, implants can straighten the penis and enable erections.
Potential Complications
- Psychological Impact: Anxiety, depression, and stress related to sexual performance and body image.
- Chronic Pain: Persistent pain even when not erect.
- Difficulty with Intercourse: Severe curvature can make penetration difficult or impossible.
When to Seek Medical Advice
- A new bend or curve in the penis, or a hard lump or band under the skin.
- Pain during erections, or pain in the penis without an erection.
- A curve that is getting worse, or that makes intercourse painful or difficult.
- Weaker erections, shortening of the penis, or an hourglass-like narrowing.
- Worry or stress about the curve. Seeing a urologist early helps plan the right treatment.
Penile curvature and Peyronie disease evaluation
Peyronie disease can cause penile curvature, plaques, pain during erection, shortening, indentation, and erectile dysfunction. Dr. Aditya P.S. Sengar evaluates symptom duration, curvature severity, pain, erectile function, and treatment suitability.
Acute and stable phase review
Treatment decisions depend on whether pain and curvature are still changing or have become stable.
ED and curvature planning
Peyronie disease can overlap with erectile dysfunction, so both curvature and erection quality should be assessed.
Treatment selection
Observation, medicines, traction, injections, or surgery may be discussed based on severity and functional impact.
Tests for Peyronie's disease
Peyronie disease is mainly diagnosed by examination, with a few tests to help plan the right treatment.
- Physical examination: the doctor feels for the hard area of scar tissue, called plaque, in the penis.
- Photographs of the erect penis: you may be asked to take photos at home to show the bend clearly.
- Penile Doppler ultrasound: shows the plaque, any calcium in it, and checks blood flow for erections.
- Measurement of the curve: helps track whether the bend is getting worse or has become stable.
- Blood sugar and hormone tests: check for diabetes or low testosterone, which can affect erections.
How Peyronie disease is treated
- In the early painful phase, the doctor may suggest watching the condition, pain relief and some medicines.
- Penile traction, using a device that gently stretches the penis over time, may be advised for some men.
- Injections into the plaque may be an option for selected patients, depending on the type and size of the curve.
- Surgery is usually considered only after the curve has been stable for some months and it makes intercourse difficult.
- Surgery options can include plication (shortening the side opposite the curve) or grafting, chosen based on your curve and erections.
- For men who also have severe erectile problems, a penile implant may be discussed, as it can help with both erection and straightening.
Recovery after Peyronie's disease treatment
- First 24-48 hoursAfter surgery, swelling and bruising are common. Most men stay in hospital for a short time or go home the next day.
- First 2 weeksWear supportive underwear and keep the dressing area clean. Pain usually settles with medicines. Light office work is often possible.
- 4-6 weeksSexual activity is usually avoided for around this time, or as the doctor advises. Swelling usually goes down steadily.
- Following monthsSome men are advised traction or stretching after surgery. Follow-up visits check the straightness and erection quality.
Treatment for Peyronie disease is very personal, so the doctor will discuss a plan that suits your curve, pain and erections.
Cost of Peyronie's disease treatment in Lucknow
The cost of Peyronie disease treatment varies a lot. Observation and medicines usually cost little. Traction devices, injections and surgery cost more, and surgery cost depends on the type of operation, whether a graft or implant is needed, and the length of the hospital stay.
Precision Urology Hospital accepts almost all health insurance and cashless schemes, and the team will explain what is likely to be covered. You will get a clear estimate before you decide on treatment, so there are no surprises. You can send your reports on WhatsApp for a free first opinion. Cover depends on your own policy, and the team can check it with your insurer before treatment.
Send reports for a free opinionWhy see Dr. Aditya P.S. Sengar for Peyronie's disease
- Private consultation, discussed one to one
- Andrology care from a DNB-trained urologist
- Medical treatment first; surgery only when it is needed
Watch: Dr. Aditya P.S. Sengar explains
पेरोनी रोग (लिंग में टेढ़ापन): हिंदी में संक्षेप
पेरोनी रोग में लिंग के अंदर सख़्त गांठ या निशान बन जाता है, जिससे इरेक्शन के समय टेढ़ापन या दर्द हो सकता है। शुरुआती अवस्था में दवा और निगरानी से मदद मिल सकती है, और टेढ़ापन स्थिर होने के बाद कुछ मरीज़ों में सर्जरी का विकल्प होता है। डॉ. आदित्य सेंगर जाँच के बाद सही इलाज बताते हैं।
Peyronie's disease: frequently asked questions
What are common symptoms of Peyronie disease?
Symptoms may include penile curvature, a hard plaque or band, painful erections, shortening, indentation, hourglass shape, and difficulty with intercourse.
Can Peyronie disease cause erectile dysfunction?
Yes. Peyronie disease can be associated with erection difficulty, performance anxiety, pain, or mechanical difficulty during intercourse.
When should a man see a urologist for penile curvature?
A urologist should evaluate curvature that is new, painful, worsening, associated with plaque, affects intercourse, or occurs with erectile dysfunction.
Is surgery always needed for Peyronie disease?
No. Surgery is usually considered for selected stable cases with significant curvature or sexual difficulty. Mild or early cases may be managed differently.
Does Peyronie disease go away on its own?
Pain often settles within 12 to 18 months, but the curve rarely straightens fully without treatment, and it can stay the same or worsen. A urologist can tell which phase you are in and what to expect.
Is every curved penis Peyronie disease?
No. A mild curve from birth is common and is not a disease. Peyronie disease usually appears later in life, often with a painful phase, a hard plaque you can feel and a curve that changes. An examination tells the two apart.
What happens if Peyronie disease is not treated?
Mild cases that cause no pain or difficulty may need only follow-up. A larger curve can make intercourse painful or difficult, shorten the penis, weaken erections and cause stress, so a review is worthwhile.
Book a consultation for Peyronie's disease
OPD Mon to Sat, 12:00 PM to 6:00 PM at Precision Urology Hospital. Book on WhatsApp and the team will confirm your time.
Send your report on WhatsApp for a free opinionPrecision Urology Hospital, 652B/37 Pratap Nagar, Tedhi Pulia Ring Road, Lucknow 226022. Get directions
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