Peyronie’s Disease (PD) is a condition associated with the formation of fibrous scar tissue (plaque) within the penis. This can result in curvature, shortening, or narrowing, which may impact sexual function. The management of PD is individualised, as clinical options vary depending on the phase of the disease (active vs. stable). It is important to note that not all penile curvature is attributed to Peyronie’s Disease; therefore, a thorough clinical assessment is required. To assist in identifying the underlying cause of a penile deformity, a Penile Doppler Ultrasound may be utilised as part of the diagnostic process.
Book an AppointmentClinical management is individualised based on the phase of the disease (active versus stable) and the extent of the functional impact identified during assessment.
| Treatment Phase | Key Therapies & Procedures |
|---|---|
| Acute Phase (Changing) | Focus on non-surgical intervention: Oral medications, penile traction devices, and Intralesional Injections (injecting medication directly into the plaque). |
| Chronic Phase (Stable) | Surgical Correction is the definitive option for severe functional curvature. |
| Surgical Options | Plication, Grafting techniques, and Penile Prosthesis Surgery (implants used to correct curvature and restore rigidity). |
| Diagnostics | Penile Duplex Ultrasound is used to accurately map the plaque, determine the underlying cause of fibrosis, and measure the degree of curvature. |
Our urological team manages Peyronie’s Disease through a structured clinical framework focused on anatomical assessment and functional outcomes.
Detailed Assessment: We utilise diagnostic imaging to evaluate the extent of the deformity and identify contributing factors. This clinical data is essential for determining the most appropriate medical or surgical pathway for each patient.
Anatomical Goals: Clinical intervention is focused on improving penile curvature and supporting functional anatomy. Our surgical techniques are designed to manage the deformity while prioritising the preservation of penile length and sensation.
Surgical Management: Where surgery is clinically indicated, our practitioners utilise established corrective procedures. In cases where erectile dysfunction is also present, these techniques may be performed in conjunction with the placement of a penile prosthesis.
No. It is vital to see a specialist immediately. While surgery is typically reserved for the stable phase, treatments during the acute (changing) phase may slow progression or reduce the final curvature, potentially reducing the need for surgery later.
One risk of correction surgery is penile shortening. Our surgeons employ advanced techniques aimed at maximising correction while mitigating this risk, ensuring a clear discussion of all potential trade-offs.
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