Understanding Peyronie's Disease
Peyronie's disease is characterized by abnormal curvature of the penis, often with pain during erection. It's caused by fibrous scar tissue (plaque) building up inside the penis, creating a curve or bend. The disease can develop suddenly or gradually. Many men feel embarrassed or anxious, but Peyronie's disease is treatable. Dr. Libby has experience managing this condition and helping men regain sexual function and confidence.
Symptoms
- Curved or bent erection (can be mild to severe)
- Pain with erection, especially in early disease
- Palpable plaque (scar tissue) on penis shaft
- Shortening of erect penis length
- Difficulty with intercourse due to curvature or pain
- Erectile dysfunction (from curvature or anxiety)
- Difficulty with partner intimacy
Two Phases of Disease
Acute (Active) Phase: Pain during erection, plaque may still be developing. Lasts weeks to months. During this phase, Dr. Libby may recommend anti-inflammatory medication (indomethacin) to help reduce symptoms.
Chronic (Stable) Phase: Pain typically resolves, curvature stabilizes. May last indefinitely. Treatment options shift to managing curvature and erectile dysfunction if present.
Treatment Options
- Oral medications: Pentoxifylline or colchicine may help in early disease; evidence is modest
- Injection therapy: Verapamil or interferon-alpha injected directly into plaque; helps reduce plaque size in some men
- Traction therapy: Wearing penile traction device daily can reduce curvature over time
- Shockwave therapy: Low-intensity shockwaves to break down plaque; newer option with promising early results
- Surgical correction: For severe curvature or erectile dysfunction; options include plication (shortening normal tissue opposite plaque) or penile implant if ED severe
When Surgery Is Considered
Surgery is recommended when curvature significantly limits intercourse, disease has stabilized (usually after 12 months), and conservative treatment has failed. Dr. Libby discusses surgical options, expected outcomes, and recovery. Most men achieve functional straightening with surgical correction.
Erectile Dysfunction & Peyronie's
Many men with Peyronie's also develop ED from anxiety, plaque affecting blood flow, or the disease itself. Dr. Libby addresses both the curvature and erectile function, using medications, injections, or devices as appropriate. Some men benefit from penile implant that both straightens the penis and provides reliable erections.
Emotional Impact & Support
Peyronie's disease impacts self-esteem and relationships. Many men benefit from talking with Dr. Libby about concerns in a judgment-free setting. Partner counseling or sex therapy can help couples navigate the condition together. Support exists, and most men successfully manage Peyronie's disease and maintain satisfying sexual relationships.