Peyronie’s Disease Treatment in Delhi & Gurgaon
Understanding Diagnosis, Treatment, and Management of Peyronie's Disease
Illustration showing erectile function and common causes of ED
What is Peyronie's disease?
Peyronie's (pay-roe-NEEZ) disease is a condition in which scar tissue (plaque) in your penis causes it to bend, curve or lose length or girth (circumference).
You may be able to feel the scar tissue through your skin, or you may have pain in a specific part of your penis as the scar tissue forms. When you have an erection, your penis may bend up, down or to the side, depending on the location of your scar. Some people who have Peyronie's disease don't have a curve, but might have an indentation that gives their penis an "hourglass" appearance.
Important note: Most males don't have perfectly straight erections. If your penis has a little curve — even if you've had the curve your whole life — it doesn't mean you have Peyronie's disease.
What are the stages of Peyronie's disease?
Peyronie's disease has two stages: acute and chronic.
Acute Peyronie's disease
- Lasts between six and 12 months
- Scar forms under the skin of your penis
- Causes curvature or shape changes
- May be painful when erect or flaccid
Chronic Peyronie's disease
- Scar is no longer growing
- Curvature won't get any worse
- Pain usually goes away
- Erectile dysfunction (ED) may develop
Symptoms and Causes
What are the symptoms of Peyronie's disease?
The primary symptom of Peyronie's disease is a curve or bend in your penis. You may also be able to feel scar tissue under the skin.
Other symptoms of Peyronie's disease include:
- A loss of length in your penis
- Loss of girth in your shaft
- Lumps in your penis
- Painful erections
- Softer erections
- Difficulty having sex
- Pain while having sex (dyspareunia)
What does Peyronie's disease look like?
In most cases, the scar forms on the top of your penis, causing it to curve upward when you have an erection. Your penis will bend downward if the scar is on the bottom and sideways if the scar is on the side.
In some cases, the scar develops on both the top and bottom of the penis shaft. This "dents" your penis and makes it shorter. In other cases, the scar goes all the way around your penis. This makes your penis narrow, like the neck of a bottle or the center of an hourglass. About 1 in 3 people who have Peyronie's disease have calcium in the scar tissue. This can make your penis feel like a bone.
What causes Peyronie's disease?
The cause of Peyronie's disease isn't always clear. Some researchers believe scarring occurs after an injury to your erect penis — usually abnormal bending during sexual intercourse.
Note: Up to 80% of people with Peyronie's disease don't remember a specific event that preceded changes to their penises. These changes may happen as a result of small, unrecognized injuries that occur during regular sexual intercourse. People who have Peyronie's disease may have a higher risk of developing too much scar tissue in response to these small injuries.
Not all people who injure their penises get Peyronie's disease, so there may be genetic or environmental factors that play into it.
What are the complications of Peyronie's disease?
Changes to your penis can affect your mental and emotional health.
Surgery
Healthcare providers only recommend surgery if you have severe Peyronie's disease that makes it difficult or impossible to have sex. You should only have surgery if you're in the stable or chronic phase of Peyronie's disease, in which the scarring and curvature no longer progress and you haven't had any pain for between six and 12 months.
Shortening the unaffected side of your penis
Your surgeon will either use tiny internal "tuck" stitches or cut out small pieces of tissue on the outside of the curve and sew the remaining tissue shut. This shortens the outside of the curve to match the inside of the curve, which straightens your penis.
Best for:
Patients who can achieve strong erections and haven't lost much length
Risks include:
Length loss, decreased penile sensitivity, decreased erectile function
Making the side of your penis on the inside of the curve longer
A provider will recommend this type of surgery if you have a severe curve or if the shaft is narrow or very short. Your surgeon will cut the scar tissue and may remove some of it. They'll cover the remaining space with some type of material.
Best for:
Patients who can achieve strong erections but have severe curvature, lost a lot of length, or have shaft narrowing affecting sex
Risks include:
Decreased penile sensitivity, decreased erectile function
Penile implant
A penile implant is the best surgical approach if Peyronie's disease causes significant penile curvature and erectile dysfunction that doesn't respond to oral medications. During this procedure, a surgeon implants a totally concealed inflatable device into your penis that allows you to achieve a straight, rigid erection without medications that lasts as long as you'd like.
Best for:
Patients with significant curvature and ED unresponsive to medications
Advantage:
When you no longer wish to have an erection, you can simply deflate the implant
Prevention
Can Peyronie's disease be prevented?
As you get older, your erections may be softer, or it may be more difficult to maintain firmness. Softer erections are more prone to bending unexpectedly during sex, leading to injury.
You can reduce your chance of injury during sex through:
Important: You may still get Peyronie's disease even if you're not sexually active. There's no way to prevent Peyronie's disease if genetics or autoimmune diseases are the cause.
Key Takeaways
Disease Stages & Symptoms
- • Two stages: Acute (6-12 months) and Chronic
- • Primary symptom: Penile curvature/bending
- • May cause pain, length/girth loss, ED
- • Can affect mental/emotional health
Treatment & Prevention
- • Surgery only for severe cases in chronic phase
- • Options: Shortening, lengthening, or implants
- • Use ED meds if erections become softer
- • Practice safe sex techniques to prevent injury