What is Peyronie’s Disease?
Peyronie’s disease is a condition marked by penile curvature, indentation and loss of penile length upon erection. This can be with or without pain.
These deformities of the penis can appear in men of all ages but is most commonly present in men in their 50’s. Not commonly known is the fact erectile dysfunction is also found to occur in up to 90% of men with Peyronie’s disease.
The formation of scar tissue on one side of the penis shortens that respective side of the penis, resulting in a curvature i.e. if the scar tissue is on the right side of the penis, the right side will become slightly shortened creating a pull of the penis to the right.
The deformity of the penis is due to plaque formation that is, in fact, a thick inelastic scar. This thick inelastic scar can create the curvature of the penis upwards, downwards, or sideways.
So what causes Peyronie’s disease?
The cause of Peyronie’s disease is not well understood. In most cases, the disease is a result of inflammation and plaque formation after repeated trauma to the penis; most commonly occurring during sexual intercourse. However, this is not always the case.
What is the impact of having Peyronie’s disease?
Individuals with Peyronie’s disease are at risk for the following conditions:
What Treatment Option Are There For Peyronie’s Disease?
The goal of therapy is to maintain or regain sexual function by straightening the penis. Treatment should be individualised based on a number of factors including, but not limited to, degree of penile curvature, the severity of penile shortening, the presence of penile narrowing, and whether erectile dysfunction is present. There are a number of interventions available including:
Other treatment options include:
Surgical Options for Peyronie’s Disease
There are three techniques to make the penis straight:
- Shortening the longer side of the penis to create equal length on both sides. Although shortening may occur, the amount of shortening is typically no more than 1-2 cm. This procedure is utilised for less severe cases of Peyronie’s disease.
2. Scar tissue is cut or partially removed on the shorter side. After removal of this tissue, the defect is filled with a graft. Resultant penile length is approximately equivalent to the longer side of the penis. This operation is reserved for men with severe deformity and no erectile dysfunction.
3. For men with erectile dysfunction and Peyronie’s disease, a penile prothesis may be placed followed by penile straightenning with manual modelling. Want to know more about Penile Prothesis and how they work? Click here
Surgery Options: Penile Prosthesis
Surgery Options: Incision & Graft
Surgery Options: Nesbits Plication
What are the risks of surgery?
The key in a successful outcome is utilising the services of an experienced urologist. Dr Phillip Katelaris has over 30 years decorated experience in Urological Practice including treating Peyronie’s disease in Sydney.
Although rare, like any surgery there are risks involved. Please discuss these at length with your urologist to understand any risk application to your personal circumstances. Risks include:
Frequently Asked Questions
For any questions on Peyronie’s disease, treatment alternative or pricing arrangements, please call our office on (02) 9477 7904 or fill out the contact form on this page.