Will I need surgery?
If you have a slightly curved penis but have no problems with getting an erection and can have sex without pain or difficulty, then treatment is probably not needed. If you have been diagnosed with Peyronie’s disease then you may not necessarily need surgical treatment. Whether or not surgery is appropriate depends on how much pain and discomfort you are experiencing and how your sexual performance and sex life is being affected.
If you can still have satisfying sexual intercourse, you may not need treatment, because Peyronie’s disease can sometimes get better on its own.
There are a variety of treatments for Peyronie’s disease available depending on the severity of the condition. A non-surgical option is extracorporeal shockwave therapy (ESWT), which involves using a device that applies sound waves to the skin of the penis over the scar tissue to break it up and reduce the curvature and pain in the penis.
Surgical procedures for the treatment of Peyronie’s disease include:
- Plication procedures (also known as Nesbit’s procedure) - stitches are inserted under the skin of the penis on the opposite side to the plaque (scar tissue) to straighten the penis.
- Grafting - the scarred tissue is replaced or expanded using healthy tissue grafted from another part of the body.
- Penile implants - patients who suffer from Peyronie’s disease and erectile dysfunction may also be treated with a penile implant. These are inflatable devices or malleable rods which are inserted into the penis to straighten it and enable the patient to get an erection suitable for sexual intercourse.
As with any surgery, these procedures carry the risk of complications. These may include shortening of the penis, changes in sensitivity, scarring, or erectile dysfunction.
A drug for the treatment of Peyronie’s disease, Xiaflex, is currently approved in the US for the treatment of the condition. It is however currently unlicensed in the UK.