DiagnosisA physical exam is often sufficient to identify the presence of scar tissue in the penis and diagnose Peyronie's disease. Rarely, other conditions cause similar symptoms and need to be ruled out. Show Tests to diagnose Peyronie's disease and understand exactly what's causing your symptoms might include the following:
TreatmentTreatment recommendations for Peyronie's disease depend on how long it's been since you began having symptoms.
For the acute phase of the disease, treatments range from:
For the chronic phase of the disease, several potential treatments are available. They may be done alone or in combination:
Oral medications aren't recommended in the chronic phase, as they haven't been shown to be effective at this stage of the disease. Shock wave therapy, stem cells and platelet-rich plasma also haven't been shown to be effective in human studies. MedicationsA number of oral medications have been tried to treat Peyronie's disease, but they have not been shown to be effective consistently and are not as effective as surgery. In some men, drugs injected directly into the penis might reduce curvature and pain associated with Peyronie's disease. Depending on the therapy, you might be given a local anesthetic to prevent pain during the injections. If you have one of these treatments, you'll likely receive multiple injections over several months. Injection medications may also be used in combination with oral drugs or traction therapies. Medications include:
Traction therapyPenile traction therapy involves stretching the penis with a self-applied mechanical device for a period of time to improve penile length, curvature and deformity. Depending on the specific device, traction therapy may need to be worn for as little as 30 minutes to as much as three to eight hours a day to achieve benefits. The effectiveness of treatment may also depend on the specific device used. Traction therapy is recommended in the early phase of Peyronie's disease. It's the only treatment shown to improve penile length. Traction therapy may also be used in the chronic phase of the disease, combined with other treatments or after surgery for a better outcome. SurgeryYour doctor might suggest surgery if the deformity of your penis is severe, sufficiently bothersome or prevents you from having sex. Surgery usually isn't recommended until you've had the condition for nine to 12 months and the curvature of your penis stops increasing and stabilizes for at least three to six months. Common surgical methods include:
The type of surgery used will depend on your condition. Your doctor will consider the location of scar tissue, the severity of your symptoms and other factors. If you're uncircumcised, your doctor might recommend a circumcision during surgery. Depending on the type of surgery you have, you might be able to go home from the hospital the same day or you might need to stay overnight. Your surgeon will advise you on how long you should wait before going back to work — generally, a few days. After surgery for Peyronie's disease, you'll need to wait four to eight weeks before sexual activity. Other treatmentsA technique known as iontophoresis uses an electric current to administer a combination of verapamil and a steroid noninvasively through the skin. Available research has shown conflicting results on penile curvature and erectile function. Several nondrug treatments for Peyronie's disease are being investigated, but evidence is limited on how well they work and possible side effects. These include using intense sound waves to break up scar tissue (shock wave therapy), stem cells, platelet-rich plasma and radiation therapy. Our caring team of Mayo Clinic experts can help you with your health concerns. Visit Mayo Clinic Men's Health to get started. Get the process started Subscribe for free and receive your in-depth guide to digestive health, plus the latest on health innovations and news. You can unsubscribe at any time. To provide you with the most relevant and helpful information, and understand which information is beneficial, we may combine your email and website usage information with other information we have about you. If you are a
Mayo Clinic patient, this could include protected health information. If we combine this information with your protected health information, we will treat all of that information as protected health information and will only use or disclose that information as set forth in our notice of privacy practices. You may opt-out of email communications at any time by clicking on the unsubscribe link in the e-mail. Clinical trialsExplore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Coping and supportPeyronie's disease can be a source of significant anxiety and create stress between you and your sexual partner. Here are some tips for coping with Peyronie's disease:
Preparing for your appointmentIf you have Peyronie's disease symptoms, you're likely to begin by seeing your family doctor or general practitioner. You might be referred to a specialist in male sexual disorders (urologist). If it's possible, encourage your partner to attend the appointment with you. Preparing for your appointment will help you make the best use of your time. What you can doMake a list ahead of time that you can share with your doctor. Your list should include:
List questions for your doctor from most important to least important in case time runs out. You might want to ask some of the following questions:
In addition to the questions you've prepared to ask your doctor, don't hesitate to ask questions during your appointment. What to expect from your doctorYour doctor is likely to ask you a number of questions. Being ready to answer them might reserve time to go over any points you want to discuss further. Your doctor might ask:
Your doctor might also ask you to complete a survey, such as the International Index of Erectile Function, to help identify how the condition affects your ability to have sex. Our caring team of Mayo Clinic experts can help you with your health concerns. Visit Mayo Clinic Men's Health to get started. Get the process started Nov. 19, 2021 |