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Peyronies Disease Surgery UK : Specialist treatment,recovery and costs
Diagnosis and personalised care from specialist urologists for all stages of peyronies disease
page reviewed by specialist urologists on 31st July 2026
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What is Peyronies Disease?
Peyronies disease is a condition that can cause penile curvature , pain , and difficulty with sexual function.
At Moorgate Andrology we provide specialist assessment and treatment for peyronies disease, including both non-surgical management and surgical correction where appropriate.
Peyronies disease moves through two distinct phases, an acute phase and a stable phase. Explore the differences and treatment options of these two phases in our detailed article.
The severity and stage of the disease will determine the right treatment pathway.
At Moorgate Andrology we offer,
- - Specialist Urologist-led care
- -Suitable for stable Peyronies disease
- -Length-preserving surgical options
- -Consultations in London and nationwide
Peyronies disease is a urological condition caused by the formation of fibrous scar tissue ( plaques) within the penis.
This scar tissue does not stretch normally, which can result in curvature of the penis on erection, penile shortening, and penile deformity.
This condition can vary greatly in severity and may affect both function and quality of life, making specialist assessment very important.
It can develop gradually, and early assessment by a specialist can improve outcomes
For those worried whether peyronies disease is dangerous, read our detailed blog on the topic.
Many men are also worried about having sex with peyronies disease and are concerned that they will cause discomfort for their partner or further damage to their penis. Sexual activity is still possible with peyronies disease, assuming that the curvature is not too severe, but care must be taken to avoid further damage to the penis.
When is surgery recommended?
Surgery is recommended in peyronies disease when there is a significant curvature of the penis that affects sexual function. In many cases this relates to penile curvature of over forty degrees. The disease must have reached the stable phase before surgery can be considered. We know the disease has reached the stable phase when there has not been any change in the angulation of the penis for three months. This generally happens between six and twelve months from the onset of the disease.
What Causes Peyronies disease?
It is associated with injury to the penis. Either through a single event such as the penis bending suddenly during sexual activity, or a series of small traumas to the penis over time.
This trauma may lead to abnormal healing and the formation of scar tissue called "plaque". This plaque affects the normal elasticity of the penis and leads to bending of the penis on erection.
Possible contributory factors include:
Injury during sexual activity
Repeated micro-traumas over a period of time
Genetic predisposition
Connective tissue disorders
Age-related changes
Attempts at sexual intercourse without full erection.
Can Peyronies disease be treated?
Yes, peyronies disease can be managed with non-surgical treatments or corrected with surgery, depending on severity. Treatment in Moorgate Andrology has a focus on making the penis straight and protecting penis length. Treatment for peyronies disease in the NHS is available usually beginning with conservative options such as vacuum pump therapy.
Peyronies disease : The Complete Guide
This page explains what peyronies disease is, what causes it, and the treatment options available.
Management depends on the severity of the symptoms and how the condition affects function.
UK specialist surgeons in Peyronies disease
Dr Nenad Djakovic and Dr Gerasimos Fragkoulis are both GMC specialist urologists with experience in surgical and non-surgical treatment of peyronies disease.
They offer initial consultation, diagnosis and assessment and discussion about suitable treatment options.
Urologist assessment usually involves a consultation and assessment of the curvature through photos of the penis in full erection. Sometimes an ultrasound scan is performed prior to treatment.
The urologists have extensive experience in treating peyronies disease, in both the acute and stable phases
When to consider treatment
The curvature affects sexual performance
Pain persists during erection
You notice your penis getting shorter
Symptoms are getting worse
You want to explore all options, surgical and non-surgical
What are the symptoms of peyronies disease?
Symptoms often include:
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Noticeable penile curvature during erection
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Pain or discomfort (especially in the early or “acute” phase)
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Penile shortening (read our full article here about why the penis shortens in peyronies disease)
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Erectile dysfunction
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Difficulty with sexual intercourse
The condition typically progresses through two stages:
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Acute Phase: Active inflammation, pain, and curvature changes.
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Stable Phase: Pain usually settles, and curvature stabilises.
What treatment is available for peyronies disease?
Treatment depends on the stage and severity of the condition. In very mild cases of peyronies disease, no treatment may be required. If the condition affects sexual function then a number of options may be available.
Options may include:
- Observation and monitoring
- Non-surgical treatments
- Surgical correction for more severe cases
A structured assessment is required to determine the most appropriate approach
Treatment Options for Peyronie’s Disease
At Moorgate Andrology, we offer a comprehensive choice of treatments to suit your stage and severity of disease.
Non-Surgical Options
If you’re in the early or “acute” phase, conservative therapies can help reduce pain and inflammation and may prevent further curvature:
SHOCKWAVE THERAPY
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Shockwave Therapy for Peyronie’s Disease – a gentle, non-invasive treatment that can help relieve pain the acute phase of the disease. It is not used to improve severe penile curvature as there is little evidence that it helps improve curvature.
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PLATELET-RICH-PLASMA THERAPY
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PRP Therapy (Platelet-Rich Plasma) – uses your own blood platelets to promote tissue repair and reduce plaque activity. A regenerative therapy that may support healing. It is not considered in cases of severe penile curvature, where surgery is recommended.
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INJECTION THERAPY
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Medical injections that soften plaques and can improve curvature in select cases. A minimally invasive therapy that softens scar tissue.
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TRACTION THERAPY
- Helps stretch tissue gently over time and may improve curvature in some cases.
Quick Overview of Peyronie’s Disease Treatments
| Procedure | Indication | Recovery | Link |
|---|---|---|---|
| Plaque Incision & Grafting | Stable phase, significant curvature | 4–6 weeks | View Details |
| Nesbit Procedure | Severe curvature, stable phase | 4–6 weeks | View Details |
| PRP Therapy | Mild curvature, early disease | Minimal | View Details |
| Shockwave Therapy | Pain management | Minimal | View Details |
| Injections | Plaque softening | Minimal | View Details |
When is surgical correction of Peyronies disease recommended?
When non-surgical options are insufficient, surgery may be recommended. In cases of severe penile curvature, surgery may be the only option to straighten the penis. Non-surgical treatments may not be enough to improve the curvature to an acceptable level for the patient. Surgical options include:
Tunical plication with procedures such as the Nesbit procedure.
Grafting techniques, including procedures such as plaque incision and grafting surgery
Penile prosthesis: in cases where there is erectile dysfunction which is unresponsive to conservative management , a penile implant may be the best option.
Surgery is tailored based on curvature degree and functional goals
Plaque Incision and Grafting
Plaque Incision and Grafting Surgery – our preferred length-preserving technique, suitable for moderate to severe curvature. This advanced procedure releases the plaque and inserts a graft to straighten the penis while maintaining length. Learn MoreThe Stage Technique
Nesbit Procedure with penile lengthening
Nesbit Procedure – a traditional corrective surgery that shortens the longer side of the penis to achieve straightening. Usually recommended for mild to moderate curvature. Now available with penile lengthening at the same time. Not available on the NHS.
Learn MoreWho is suitable for peyronies disease surgery?
Surgical treatment is usually recommended in the following situations.
- Severe Curvature causing difficulty with sexual activity
- When the disease is in the stable phase
- When non-surgical management has not had the required improvement
- When erections are affected and non-surgical management of the ED has failed
Clinical evaluation
Peyronies disease is a very complex urological condition that requires careful assessment before embarking on any treatment.
At Moorgate Andrology, patients undergo detailed clinical evaluation to determine the stage of the disease and the most appropriate treatment approach, whether surgical or non-surgical.
When to seek medical advice
Patients should consider seeking medical advice if they notice;
Increasing curvature in the first few weeks
Pain during erection
Changes in penile shape or function
Erectile dysfunction
Difficulty with sexual intercourse
(Read our full article about this aspect of peyronies disease and its impact on sexual activity)
What results can be expected from peyronies disease surgery?
Surgery can straighten the penis and correct an hour glass deformity where present. At Moorgate Andrology, we offer procedures that not only correct the deformity, but also to protect penile length as much as possible.
The penis can be thickening with either a fat transfer or penis fillers. A fat transfer takes fat from the belly or the inner thighs (where the best quality fat it) and after purification, it is injected into the shaft to thicken it. This will thicken the penis between 2.5 and 5cm.
Another option to thicken the penis are penis fillers. These are temporary in nature and more expensive than a fat transfer over the medium to long term, but are performed on an outpatient basis rather than in hospital. Penis fillers work by the injection of hyaluronic acid into the shaft of the penis. The results are instant but slowly fade over 12 months to two years depending on the type of filler used.
What are the risks in peyronies disease ?
As with any medical condition and treatment, peyronies disease and its management involve potential risks.
These may include;
Progression of the curvature making sexual intercourse difficult or impossible
Erectile dysfunction alongside the disease
Recurrence after treatment (rare after surgery)
Surgical risks such as infection or changes in sensation.
The likelihood of these risks depends on individual factors , the stage of the condition, and the treatment approach.
A consultation is important to fully understand the potential outcomes
Why Choose Moorgate Andrology?
UK-leading specialists in men’s sexual health and urology
State-of-the-art clinical facilities
Discreet, confidential consultations
Proven track record in Peyronie’s Disease correction
Tailored treatment plans to restore your confidence
Length-sparing procedures available for severe curvature
Specialist urologists only (Not Cosmetic Doctors)
Surgical and non-surgical options
Focus on natural, functional results
Extensive experience in male sexual health
Harley St London location
Peyronies disease treatment cost
The cost of peyronies disease treatment will depend on the type of treatment provided.
Surgically, the most common procedure provided at Moorgate Andrology is plaque incision and grafting surgery. This is a length-sparing procedure, unlike the nesbit procedure, which leads to penile shortening. In suitable cases this costs £ 12.995.
The stage procedure is a procedure to make the penis straight in cases of congenital penile curvature and more moderate cases of peyronies disease. Again, this is a length sparing procedure compared to the nesbit procedure, but does lead to some penile shortening. This procedure costs £7,995
Please ask the team if you need more information about finance options and ways to pay for your peyronies disease surgery.
You can find out more about how much peyronies disease surgery costs in the UK here
Book Your Peyronies disease Consultation now
Understanding your treatment options begins with a conversation. By filling in the contact form, you can book a consultation with a Urologist.
During the call, they’ll:
- Answer your questions
- Discuss your goals
- Explain the treatment process
We are committed to giving you clear, expert guidance every step of the way.
Talk To Our Team
Book A Urologist Consultation
Moorgate has a network of nationwide surgeons and centres. Simply find your convenient location below:
64 Harley St, Marylebone, London, W1G 7HB
356 Ecclesall Rd South Sheffield, S11 9PU
26, Park Rd Hale Cheshire. WA15 9NN
78 Seymour Place, London, W1H 2EH
FAQ’s
In most cases, it does not. Early intervention can help prevent worsening curvature and preserve penile length.
Most men return to light activities within a week and sexual activity after 6–8 weeks
With traditional Nesbit surgery, some shortening can occur. However, Plaque Incision and Grafting is designed to preserve length wherever possible.
Non-surgical treatments such as PRP and Shockwave Therapy are very well tolerated with minimal discomfort.
Book a private consultation with our urology team. We’ll assess the stage of your condition and recommend the most suitable option.
Recovery usually takes 4–6 weeks for most men, with gradual return to normal activity. Learn more.
Surgery is advised in the stable phase of Peyronie’s disease with significant curvature or functional issues. Non-surgical options such as PRP therapy or shockwave therapy are ideal in early or mild cases.
Plaque incision & grafting has high success for curvature correction with minimal shortening when performed by expert surgeons. Risks include temporary swelling, bruising, or mild erectile changes. Read more.
The nesbit with penile lengthening offers something that is not available on the NHS. For cases of peyronies disease with curvature of 40 degrees of less, this offers a solution to make the penis straight and protect some penis length.
If you have a curvature of 40 degrees or less, then the nesbit combined with penile lengthening can be an excellent choice. If your curvature is more than 40 degrees then the plaque incision and grafting may be more appropriate. At your consultation our Urologists will assess your curvature and advise you of the best approach for the best outcome.
You will need to avoid sexual activity for six weeks. Most men return to work after one week.
The best treatment for peyronies disease depends on the individual and the severity of the condition
Peyronies disease is a condition caused by the development of fibrous scar tissue within the penis.
This scar tissue leads to penile curvature on erection, deformity and shortening.
No. Many cases can be managed without surgery depending on the severity
The condition is often associated with injury to the penis. This may come from sudden bending of the penis during sexual activity, or a series of micro-traumas over time. Other factors may include age, connective tissue disease and genetics.
Risks may include infection, changes in sensation, recurrence, erectile dysfunction, depending on the procedure.
Patients should seek advice when they notice a curvature of the penis. Any pain on erection and changes in penile shape or function.
Peyronies disease is thought to be caused by injury to the penis , either in a sudden event or series of micro-traumas over time. Scar tissue forms in the penis causing bending on erection and penile deformity
In some cases it can, in mild cases. in severe cases treatment will be required to make the penis functionally straight
Surgical procedures are suitable for cases of severe curvature, while non-surgical procedures can be an option in early stages of the disease and mild cases of curvature
Most patients return to work after one to two weeks. Full recovery takes up to six weeks during which you should avoid all sexual activity and strenuous exercise.
The Stage Technique vs The Nesbit Procedure
The Stage Technique has significant advantages over traditional Peyronie’s disease treatment methods, such as the Nesbit procedure used by the NHS.
- High risk of penile length loss with Nesbit, minimal length loss with Stage.
- Higher risk of haematoma following Nesbit surgery. This risk is very low with the Stage Technique.
- There is a much lower risk of loss of glans sensitivity with the Stage Technique when compared to Nesbit.
- Much lower risk of recurrence of Peyronie’s disease with the Stage Technique.
- 99.1 % straightening rate with the Stage Technique compared to only 76.2% with the Nesbit procedure.
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