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Peyronies Disease Treatment Options - Expert assessment & care
Diagnosis and personalised care from Specialist Urologists for all stages of peyronies disease
page reviewed by Specialist Urologists April 2026
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What is Peyronies disease ?
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 improves outcomes
Regain Confidence with Expert Peyronie’s Disease Treatment at Moorgate Andrology
Peyronie’s Disease is a condition that causes the penis to develop areas of hardened scar tissue (known as plaques), leading to curvature, shortening, pain, and erectile difficulties. For many men, this condition can be distressing and affect both sexual performance and self-confidence.
At Moorgate Andrology, our specialist urologists provide a complete range of non-surgical and surgical Peyronie’s Disease treatments, offering advanced options to help restore both function and confidence.
Moorgate Andrology is a UK- based specialist clinic focusing on male genital procedures, including peyronies disease surgery, penis enlargement surgery and penis reduction surgery. All treatments are carried out by experienced Clinicians with a background in Urology
What Causes Peyronies Disease ?
The excct causes of peyronies disease is unclear.
It is commonly associated with injury of 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 a 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.
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
When you may 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
Understanding Peyronies disease and Peyronies disease symptoms
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
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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.
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 helps relieve
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pain and stimulate natural healing.
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PLATLET-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.
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INJECTION THERAPY
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Non surgical injections
– medical injections that soften plaques and can improve curvature in select cases. A minimally invasive therapy that softens scar tissue. -
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 |
Surgical Correction
When non-surgical options are insufficient, surgery may be recommended.
Tunical plication
Grafting techniques
Penile Prosthesis. ( in select cases )
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 MoreInjection-based treatment for peyronies disease
Injection-based treatments may be considered for certain patients with peyronies disease, particularly in earlier or active stages of the condition. These treatment deliver medication targeted directly into the plaque to influence the structure of the plaque and in some cases, reduce curvature.
Learn MorePRP treatment for peyronies disease
Platelet - rich - plasma is a regenerative treatment that can be considered in selected cases. PRP is derived from the patients own blood and contains a concentration of platelets and growth factors. These are injected into the scar tissue to support tissue repair and healing
Learn MoreShockwave therapy
Shockwave therapy is a non-surgical and non-invasive treatment tat can help with pain on erection in the early phase of the disease. it may also be helpful where there is associated erectile dysfunction
Learn MoreA Specialist Medical Approach
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.
Why choose experts ?
Consultant-led Specialist care
Personalised treatment plans
Latest evidence-based techniques
Discreet private consultations
Support through every stage of the disease
When to seek medical advice
Patients should consider seeking medical advice if they start to notice;
Increasing curvature in the first few weeks
Pain during erection
Changes in penile shape or function
Erectile dysfunction
Realistic Expectations and Outcomes
Treatment outcomes vary.
Non-surgical options may improve symptoms in the early stage of the disease, while surgery offers the highest likelihood of significant curvature reduction in appropriate patients. During your Specialist assessment , we will outline expected results and recovery details tailored to you
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.
Risks and Considerations
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 chances of these risks depend on individual factors , the stage of the condition, and the treatment approach.
A consultation is important to fully understand the potential outcomes
Alternative and related treatments
Many men choose to combine Peyronie’s surgery with other penile enhancement procedures such as:
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Penis Enlargement Surgery – for men seeking to restore or improve penile length and girth.
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Circumcision – often performed at the same time if foreskin tightness is an issue.
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Scrotoplasty – for cosmetic improvement of the scrotal area.
This combined approach allows for optimal aesthetic and functional results under one surgical plan.
For men with a milder curvature (up to 40°), our Nesbit procedure with ligament release offers a lower-risk alternative to grafting. Discover how this new option works ›
Sometimes patients present with other functional concerns such as difficulties associated with the penis being too large, they seek penis reduction surgery to improve form and function
Take the Next Step
If you’re struggling with Peyronie’s Disease, our specialists are here to help.
Call Moorgate Andrology today or book your confidential consultation online to discuss the most effective options for you.
Patients experiencing symptoms should consider specialist assessment to determine the stage and management of the condition
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
Book Your Peyronies disease Consultation Now
Understanding your treatment options begins with a conversation. By filling in the contact form, you can book a completely 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
Durton Lane, Broughton, Preston PR3 5LD
Westlands Avenue, Hornchurch, Essex RM11 3SD
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 week
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.
urgery 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.
Yes, some men choose to combine treatments for both curvature correction and girth/length enhancement. Speak to our surgeons to discuss options: Penis Enlargement Surgery.
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.
NHS procedures for peyronies disease focus on making the penis straight again, usually with the nesbit procedure. Additonal
We do have finance options. We have interest free finance available up to £ 5000 over one year and interest bearing finance up to 100% of the surgery cost, with up to five years to pay. Our team will help with you with the finance application that takes just minutes
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.
To find out if you qualify for penile augmentation finance on your procedure, Check out this link which will take you to a FOUR STEP QUICK DECISION LOAN APPLICATION.
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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