Peyronie’s disease causes curved erections due to fibrous scar tissue (plaque) forming beneath the penile skin. This curvature can make sexual intercourse difficult and cause significant emotional distress. Dr Maharajh offers comprehensive assessment and evidence-based treatment options to effectively manage this condition.
The condition develops in two phases:
• Acute phase (6-18 months): Pain during erections and progressive curvature changes
• Chronic phase: Stabilised curvature with persistent plaque
Peyronie’s affects 3-9% of men, most commonly between ages 40-70. Likely causes include repeated minor trauma during sexual or physical activity, with increased risk in men with:
• Genetic predisposition
• Connective tissue disorders
• Diabetes
• History of prostate surgery
Primary symptoms include:
• Penile curvature during erection (upward, downward, or sideways)
• Penile pain, particularly during acute phase
• Palpable lumps or hard tissue bands
• Erectile dysfunction
• Penile shortening or hourglass indentation
Diagnosis involves:
• Medical history and physical examination
• Photographs of erect penis to document curvature
• Ultrasound imaging to assess blood flow and scar tissue location
Early consultation is important, as treatments are often more effective during the acute phase.
Whilst 10-15% of cases may improve spontaneously, most men experience stable or worsening symptoms without treatment. Early consultation allows for monitoring and timely intervention if needed, potentially preventing progression and preserving sexual function.
No, Peyronie's disease is not cancerous and doesn't increase penile cancer risk. The plaques are benign scar tissue, not tumours. However, any unusual lumps should be evaluated by a urologist to ensure accurate diagnosis.
Many men maintain satisfying sexual relationships. Mild curvature often doesn't prevent intercourse, whilst moderate to severe cases may require treatment. Open communication with your partner and exploring different positions helps. Treatment options are available to restore sexual function when needed.