Peyronie’s Disease
Peyronie’s disease is a condition in which scar tissue, known as plaque, develops within the lining of the penis. This can cause penile curvature, narrowing, indentation, shortening, discomfort with erections, and difficulty with penetrative sexual activity. In some men, Peyronie’s disease is also associated with erectile dysfunction.
At the London Urology Collective, we provide expert assessment and treatment of Peyronie’s disease, with particular expertise in complex penile curvature and sexual medicine. Our consultants offer evidence-based care tailored to the severity of the curvature, the stability of the condition, erectile function, and the impact on sexual activity and quality of life.
Our aim is to assess the extent of the problem accurately, explain which treatments are appropriate at each stage of the condition, and help you achieve the best possible functional outcome.
What to expect
Your assessment will involve a detailed and confidential evaluation, including:
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Medical and sexual history
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Physical examination of the penis to assess palpable plaque
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Assessment of erectile function
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Review of photographs of the erect penis, if available
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Penile ultrasound in selected cases
Treatment options
Treatment depends on the phase and severity of the condition, as well as your erectile function and treatment goals, and may include:
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Observation and review during the active phase
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Medical support for associated erectile dysfunction
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Penile traction therapy in selected cases
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Low-intensity shockwave therapy for pain management in appropriate patients
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Intralesional treatment in appropriate patients, including selected use of hyaluronic acid injections
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Platelet-rich plasma (PRP) injections in carefully selected cases
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Penile straightening surgery
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Penile prosthesis surgery where curvature is associated with erectile dysfunction
Our consultants will explain clearly which options are suitable for you and whether the priority is symptom control, restoration of sexual function, or surgical correction.
Non-surgical treatment for Peyronie’s disease
In the early or active phase of Peyronie’s disease, non-surgical treatment may be considered in selected patients, particularly when the aim is to reduce pain, limit progression, or improve deformity before the condition stabilises. The most appropriate option depends on the degree of curvature, the presence of pain, erectile function, and patient preference.
Penile traction therapy may be helpful in selected men and can form part of a conservative management strategy. Low-intensity shockwave therapy may also be considered, particularly in men with penile pain during the active phase, although its role is usually focused on symptom relief rather than correction of curvature. Intralesional therapies may be offered in appropriate cases, including hyaluronic acid injections, and in some selected settings platelet-rich plasma (PRP) injections may also be discussed as part of an individualised treatment plan.
These treatments are not suitable for every patient, and their potential benefits, limitations, and expected outcomes should be discussed carefully. Our consultants will explain whether non-surgical treatment is appropriate in your case and how it fits within the wider management plan.
Surgical treatment for Peyronie’s disease
Surgery is generally considered when the condition has become stable, the curvature prevents satisfactory sexual activity, and non-surgical measures are unlikely to provide sufficient benefit.
The most appropriate procedure depends on the degree of curvature, penile length, the presence of narrowing or hourglass deformity, and the quality of your erections. In men with good erectile function and less severe curvature, plication may be recommended. In men with more complex deformity, plaque incision and grafting may be more appropriate. Where significant erectile dysfunction is also present, insertion of a penile prosthesis may provide the best functional result.
The aim of surgery is to achieve a functionally straight penis that allows satisfactory sexual activity. No procedure can restore the penis exactly to its pre-disease state, and each option carries specific trade-offs, including the possibility of penile shortening, altered sensation, or worsening erectile function depending on the technique used.
Careful pre-operative counselling is essential, and our consultants will discuss expected outcomes, limitations, and recovery in detail so that you can make a fully informed decision.
Why Choose London Urology Collective
We combine leading clinical experience with up-to-date knowledge of both established and innovative therapies. All treatment options are discussed clearly, allowing you to make an informed choice that best fits your needs and long-term health.
Consultant led care throughout
Subspecialist expertise
Rapid access to care
Clear and transparent fees
Convenient London locations
When to Seek Specialist Advice
You may benefit from specialist assessment if:
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You have developed a bend or curve in the penis during erection
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You can feel a lump or plaque within the shaft of the penis
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Erections have become painful
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You have difficulty with intercourse because of penile shape change
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You have noticed shortening, narrowing, or an hourglass deformity
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You have loss of confidence or distress related to the condition
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You also have erectile dysfunction
Early assessment is helpful to determine whether the condition is still changing or has entered a stable phase, as this affects treatment options.
Why Choose London Urology Collective
We combine leading clinical experience with up-to-date knowledge of both established and innovative therapies. All treatment options are discussed clearly, allowing you to make an informed choice that best fits your needs and long-term health.