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Peyronie's disease treatment

If you have a bend in your penis on erection which can be painful and prevents you from having intercourse, you may have Peyronie’s disease. Read more

Urologist Doctor giving consult for prostate problems to patient

What is Peyronie’s Disease (PD)?

Peyronie’s Disease (PD) is a common benign condition affecting up to 1% of men. It presents as a bend in the penis on erection, which may be painful and prevent the man from having intercourse. There may be a lump which can be felt in the penis under the skin, and the condition can take 6-12 months to stabilise.

What treatments are available?

There are several treatments for the condition, although most of the oral treatments do not stand up to scientific scrutiny. For significant bends in the penis and impaired function, surgery provides the best results.

There are a number of operations for PD which involve straightening the penis. These range from plication stitches placed under the skin (modified Nesbitt’s procedure/ Nesbitt’s procedure) to incision and grafting with patches (Lue procedures). In patients who have significant erectile dysfunction, penile implants can be used. Your urological surgeon will be able to offer advice on the most suitable procedure. All the operations are carried out under a general anaesthetic, and most can be carried out as a day case procedure.

For some men with lesser degrees of deviation, conservative treatments such as extracorporeal shock wave therapy administered as an outpatient may be suitable.

Satisfaction rates with surgery are extremely high in the scientific literature, as most men return to normal activities within 24 hours and sexual activity within 4-6 weeks. Contrary to most men’s perceptions, there is very little pain following the procedure. Scarring is minimal and almost invisible within a few weeks.

Acknowledgements

Author: Mr Raj Nigam, Consultant Urological Surgeon at Mount Alvernia Hospital

Specialists offering Peyronie's disease treatment

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Mr Vaibhav Modgil

Consultant Urological Surgeon and Andrologist

BM, MRCS, MSc, FRCS (Urol)

The Highfield Hospital 1 more The Alexandra Hospital

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Mr Hemant Nemade

Consultant Urological Surgeon

FRCS (Urol), MRCSEd, MS, DNB (URol)

The Manor Hospital 1 more Three Shires Hospital

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Mr Sarath Nalagatla

Consultant Urological Surgeon

MBBS; MS (General Surgery); MCh (Urology); FRCS (Surgery); MD; FRCS Ed (Urology)

Ross Hall Hospital 1 more Ross Hall Clinic Braehead

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Mr Henry Andrews

Consultant Urological Surgeon

MBBS, FRCS, FRCSi, FRCS(Urol), FEBU, MBA

The Saxon Clinic

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Professor Asif Raza

Consultant Urologist

MBChB, FRCS, FRCS(Urol), FEBU

The Clementine Churchill Hospital 1 more Syon Clinic

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Mr Harbinder Sharma

Consultant Urological Surgeon

BMEDSCI, BMBS, FRCSEd (UROL)

The Manor Hospital 1 more The Princess Margaret Hospital

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