Peyronie’s Disease Treatment
Peyronie's disease isn't curable, but doctors have developed a range of treatment options to reduce the symptoms and help your penis function normally. What treatment looks like will depend on your individual situation. If the condition is mild and doesn't interfere with sex or cause pain, your doctor may recommend that you simply monitor the condition and avoid taking any action unless it worsens.
For mild to moderate cases, your doctor may recommend taking medication that targets the buildup of collagen and tissue to help reduce pain and correct the curve. These medications may be delivered through an injection into the penis or taken orally.
- Collagenase: This is delivered by injection to break down collagen causing the curve.
- Verapamil: This injection blocks further production of collagen to prevent the curve from worsening.
- Interferon: This injection breaks down scar tissue causing the curve.
- Pentoxifylline: This oral medication combines vitamin E and colchicine or carnitine to reduce scar tissue.
If you have a severe curvature that causes pain and interferes with your daily life, your doctor may recommend surgery. Peyronie's disease can worsen over time; it's best to wait until there's been no change to the condition for at least six months before you undergo surgery. Be sure to discuss the risks and benefits of each procedure in detail with your doctor.
Surgical options include:
- Plication: During this procedure, the surgeon removes the scar tissue and stitches the skin together on the opposite side of the shaft. This can cause the penis to look shorter. This procedure has low risks.
- Incision and grafting: The surgeon cuts the scar tissue, which allows the penis to straighten. Then the doctor makes a graft, either from your own tissue, donor tissue, or synthetic material, to cover the cuts. In some cases, the procedure has a risk of making erectile dysfunction worse.
- Penile implant or prosthesis: Your doctor may recommend this option if you have erectile dysfunction and severe Peyronie's. This involves surgically placing a penile implant.
Some procedures will allow you to go home the same day, while others may require a short hospital stay. Your doctor will base your options and recovery time on the severity of your condition. Most men can return to work within a few days of surgery, but you will likely need to avoid sex for about 2 months.