Peyronie Disease Treatment and Care at Liv Hospital: Phase-Based and Personalized Andrology Solutions for Penile Curvature

Peyronie disease treatment is tailored to disease stage and patient needs, including medication, injections, and surgery. At Liv Hospital, individualized care aims to restore function, straighten curvature, and improve quality of life.

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Peyronie Disease Treatment and Care

How Is Peyronie Disease Treated at Liv Hospital?

Treatment for Peyronie’s Disease (PD) at Liv Hospital is strictly phase-dependent. We recognize that the management of an active, inflammatory plaque is fundamentally different from the correction of a stable, chronic deformity. Our goal is to provide a “therapeutic bridge”—first stabilizing the disease to prevent further curvature, and then using advanced surgical or injectable techniques to restore functional straightness. Every treatment plan is a collaboration between the patient and our andrology experts, ensuring that the chosen path aligns with the patient’s sexual goals and physical health.

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Management of the Active Phase: Stabilization

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The first 6 to 12 months of the disease are focused on “cooling down” the inflammation.

  • Oral Pharmacotherapy: While pills rarely straighten a significant curve, we utilize high-dose antioxidants and specific enzyme inhibitors to reduce pain and attempt to limit the expansion of the scar tissue.
  • Pain Control: We prioritize resolving discomfort during erections, which is often the most distressing symptom during the early stages of plaque development.
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Penile Traction Therapy (PTT)

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In the modern era of andrology, traction has become a cornerstone of non-surgical care.

  • Mechanical Remodeling: By applying a gentle, consistent stretching force to the penis using specialized medical devices, we aim to remodel the scar tissue and regain lost length.
  • Pre-Surgical Conditioning: We often prescribe traction before surgery or injections to “soften” the plaque and improve the overall flexibility of the tunica albuginea.

Intralesional Injection Therapy: Dissolving the Plaque

For men in the stable phase with a curve between 30 and 90 degrees, injections can be a highly effective alternative to surgery.

  • Collagenase Clostridium Histolyticum: This is a specialized enzyme injected directly into the plaque. It works by “digesting” the dense collagen fibers that make up the scar.
  • In-Office Protocols: At Liv Hospital, we follow a precise cycle of injections followed by “modeling” sessions where the urologist manually stretches the plaque to break the weakened fibers.

Surgical Option: Penile Plication

Plication is the most common surgical procedure for Peyronie’s, ideal for men with adequate penile length and less severe curves.

  • The “Short-Side” Principle: The surgeon places permanent sutures on the side of the penis opposite the plaque. By “pinching” or folding the healthy tissue, we pull the penis into a straight position.
  • Minimally Invasive: This procedure does not involve cutting into the erectile chambers, which significantly reduces the risk of post-operative erectile dysfunction.
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Surgical Option: Plaque Incision and Grafting

For men with severe curvature (>60 degrees), significant shortening, or an “hourglass” deformity, grafting is the preferred method.

  • Restoring Length: Instead of shortening the long side, the surgeon cuts into the plaque (incision) to release the tension and places a graft—either biological or synthetic—to fill the gap.
  • Technological Precision: At Liv Hospital, we use ultra-thin grafting materials that mimic the natural elasticity of the penis, aiming for a result that feels and looks as natural as possible.

Penile Implant (Prosthesis) for Combined ED

If a patient suffers from both severe Peyronie’s curvature and significant Erectile Dysfunction that does not respond to medication, a penile implant is the definitive solution.

  • Dual Correction: The implant provides the internal rigidity needed for intercourse while simultaneously acting as an internal “splint” to straighten the curvature.
  • High Satisfaction: This procedure has some of the highest patient and partner satisfaction rates in all of urology, as it restores both the ability to have an erection and the correct anatomical shape.

Shockwave Therapy (ESWT)

At Liv Hospital, we offer low-intensity Extracorporeal Shockwave Therapy as a supportive treatment.

  • Pain Reduction: ESWT is particularly effective at reducing the localized pain associated with the active inflammatory phase.
  • Blood Flow Enhancement: By stimulating “angiogenesis” (the growth of new blood vessels), it can improve the health of the surrounding tissue, although it is typically used as a supplement to other therapies rather than a standalone cure for curvature.

Managing Psychological and Relationship Health

Sexual dysfunction is rarely just physical. We integrate “sexual medicine counseling” into our treatment programs.

  • Partner Involvement: We encourage partners to attend consultations, as understanding the biological nature of the disease can reduce relationship strain and performance anxiety.
  • Confidence Restoration: Our therapists work with patients to overcome the “avoidance behaviors” that often develop when a man is self-conscious about his appearance.

What Is Andrology Care for Peyronie Disease at Liv Hospital?

The andrology department at Liv Hospital is a center of excellence, combining the skills of reconstructive surgeons with the latest in regenerative medicine. We pride ourselves on our meticulous surgical techniques that prioritize the preservation of sensation and erectile function. Our facility provides a discreet, luxury environment where men can address their health concerns with the dignity they deserve. At Liv Hospital, we don’t just treat the deformity; we provide the comprehensive care needed to restore a man’s sexual health, his confidence, and his quality of life.

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FREQUENTLY ASKED QUESTIONS

Which is better: injections or surgery?
  1.  It depends on your goals and the plaque’s stability. Injections are less invasive but take months. Surgery provides an immediate result but carries the standard risks of an operation. We will help you decide based on your ultrasound results.
  1. Plication works by “shortening the long side,” so a slight loss of perceived length (usually 1-2 cm) is possible. However, many men feel they “regain” length because a straight penis is more functional than a curved one.
  1.  In 2026, we use highly biocompatible materials that have a very low risk of rejection. Our surgeons at Liv Hospital are experts in ensuring the graft integrates perfectly with your natural tissue.
  1. No. All components of the modern inflatable implant are entirely internal. No one—even in a locker room—will know you have an implant.
  1. A full treatment course usually involves several “cycles” over a period of 12 to 24 weeks. Patience is key to seeing the maximum benefit.
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FREQUENTLY ASKED QUESTIONS

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