Blog - Moorgate Andrology and Gynaecology

Peyronies disease: Causes, Symptoms, Treatment and Surgery Options

Written by David Mills | Apr 4, 2026 6:44:15 AM

Peyronie’s Disease: Causes, Symptoms, Treatment and Surgery Options

 

 

Peyronie’s disease is a condition involving the development of fibrous scar tissue within the penis, which can lead to curvature, deformity, or shortening during erection.

 

The condition can vary in severity and may affect both physical function and quality of life. Early assessment is often recommended to determine the most appropriate management approach.

 

 

What Is Peyronie’s Disease?

 

 

Peyronie’s disease is caused by the formation of plaques (scar tissue) within the tunica albuginea, the fibrous layer surrounding the erectile tissue of the penis.

 

Because this scar tissue does not stretch normally, it can result in curvature or changes in shape during erection.

In many cases peyronies disease treatment is essential, especially when the penile curvature prevents , or makes sexual intercourse diffuculy

 

 

What Causes Peyronie’s Disease?

 

 

The exact cause is not always clear, but it is commonly associated with minor injury or repeated trauma to the penis.

 

Possible contributing factors include:

 

• injury during sexual activity

• genetic predisposition

• connective tissue disorders

• age-related changes

 

 

Symptoms of Peyronie’s Disease

 

 

Symptoms can vary depending on the stage and severity of the condition.

 

Common symptoms may include:

 

• curvature of the penis during erection

• palpable plaques or hardened areas

• shortening or narrowing

• pain or discomfort

• difficulty with sexual activity

 

 

Treatment Options for Peyronie’s Disease

 

 

Treatment depends on the stage of the condition and the severity of symptoms.

 

Options may include:

 

 

Non-surgical treatments

 

 

These may be considered in earlier stages and aim to manage symptoms or slow progression.

 

 

Injection-based therapies

 

 

Certain treatments involve injections to target plaque formation.

 

 

Surgical treatment

 

 

In more established or severe cases, surgery may be considered to correct curvature or restore function.

 

 

Peyronie’s Disease Surgery

 

 

Surgical treatment is typically considered when the condition has stabilised and symptoms significantly affect function.

 

Procedures may include:

 

• plaque incision and grafting

• plication techniques

• other reconstructive approaches

 

The most appropriate technique depends on individual assessment and clinical findings.

 

 

Risks and Considerations

 

 

As with any medical condition and its treatment, there are potential risks.

 

These may include:

 

• progression of curvature

• erectile dysfunction

• recurrence after treatment

• surgical risks such as infection or changes in sensation

 

A consultation is important to fully understand potential outcomes.

 

 

Relationship to Other Treatments

 

 

In some cases, patients may also explore additional procedures depending on their goals.

 

These may include:

 

penis enlargement surgery when the bending of the penis has led to significant shortening and mwne want to regain some of what they lost

penis filler treatment can be considered as a non-surgical approach to increase penis girth. It should be noted however that penis filler treatment will only increase penile girth, not length.

 

The most appropriate approach depends on individual anatomy and clinical evaluation.

 

 

When to Seek Medical Advice

 

 

Patients experiencing symptoms of Peyronie’s disease should consider seeking medical assessment, particularly if symptoms are progressing or causing concern.

 

Early evaluation can help guide appropriate treatment options.

 

 

Conclusion

 

 

Peyronie’s disease is a complex urological condition that requires careful assessment and individualised management.

 

Patients should seek advice from experienced clinicians to ensure appropriate diagnosis and treatment planning.