What is Penile curvature (Peyronie’s Disease) ?
Penile curvature (Peyronie’s Disease) can happen when scar develops in the penis. Because scar tissue doesn’t stretch as well as normal, healthy tissue, the penis may bend in the direction of the scar tissue or create a “waist” (hourglass) where the shaft of the penis doesn’t expand as much as other parts of the penis. Penile curvature repair is recommended when these changes in the penis make it difficult, impossible, or painful to have penetrative intercourse.
A wide variety of treatment options are available (i.e., conservative, procedural, surgical) to meet each person’s unique goals.
Depending on your work, you may need to take several weeks off following your surgery.
No specific preparation is required for Xiaflex ® injections.
Candidates for Xiaflex ® injections are those with:
Candidates for penile plication are those with:
Candidates for plaque incision or excision with grafting:
Candidates for penile implant surgery with curvature repair are those with:
A traction device that can be self-applied to stretch the penis to help minimize penile length loss and improve curvature in some men. Traction therapy can also be used in combination with injection therapy.
Intralesional collagenase clostridium histolyticum (Xiaflex ®) is the only FDA-approved injection medication for PD.
Surgical options under general anesthesia include:
Plaque incision or excision with grafting:
Penile implant surgery with curvature repair:
Most of the time, we don’t know the exact cause. We think it occurs from repeated injury to the penis, which may occur during sexual activity or from trauma to the area. Some men remember a specific event that occurred, after which they noticed a change in their penis, whereas others looked down one day and noticed a change.
Traction therapy, in conjunction with Xiaflex®, may improve your response to injections.
No sexual activity (include self-stimulation) between the first and second injection of each cycle and for FOUR weeks following the second injection.
It is difficult to predict how the length of the penis will change with plication surgery. To minimize penile shortening associated with this procedure, the goal during surgery is to improve the curvature enough for a good, functional outcome without reducing unnecessary length.
Dr. Pearlman is fellowship-trained in penile reconstruction, including penile curvature repair. She believes in providing comprehensive care when it comes to the treatment of male sexual health concerns. As a result, she will discuss all treatment options with you prior to consideration of penile curvature repair so that she can help you come up with a treatment plan to best meet your sexual and quality of life goals.
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