Peyronie disease is a condition causing penile curvature due to fibrous plaque formation. At Liv Hospital, specialized evaluation and personalized treatment options help improve function and quality of life.

Peyronie Disease Overview and Definition

Defining Peyronie’s Disease (PD)

Peyronie’s disease is a localized connective tissue disorder characterized by the formation of a fibrous, inelastic scar—known as a plaque—within the penis. This plaque typically develops in the tunica albuginea, the tough fibrous sheath surrounding the erectile tissues. Because this scarred area cannot stretch during arousal, the penis bends or deforms during an erection. At Liv Hospital, we treat PD not as a mere aesthetic change but as a complex biological condition that impacts both physical function and psychological health.

The Anatomy of an Erection and Plaque Formation

To understand Peyronie’s, one must understand penile mechanics. The penis contains two chambers called the corpora cavernosa. During an erection, blood fills these chambers, causing them to expand. The tunica albuginea acts as the containing wall. In a healthy state, this wall expands uniformly. In a patient with Peyronie’s, the presence of a rigid plaque acts like a “short leash” on one side, preventing expansion and forcing the penis to curve toward the site of the scar. This structural imbalance is what defines the physical manifestation of the disease.

The Two Clinical Phases: Active vs. Chronic

Peyronie’s disease is unique because it evolves through two distinct stages. The active (inflammatory) phase is characterized by changing curvature and often painful erections; this phase can last up to 18 months. The chronic (stable) phase begins when the plaque calcifies, the pain resolves, and the deformity stops progressing. At Liv Hospital, we emphasize that the treatment strategy varies significantly depending on which phase the patient is in, as surgical interventions are strictly avoided until the disease has entered the stable chronic stage.

Symptoms and Risk Factors

The primary symptoms of PD include a visible bend, a palpable hard lump (plaque) under the skin, and pain during erections. However, as detailed in our specialized Symptoms and Risk Factors section, it also involves loss of length and potential erectile dysfunction. Risk factors range from “micro-trauma” during sexual activity to genetic predispositions. Conditions like diabetes and Dupuytren’s contracture (hand scarring) are significantly linked to PD, suggesting a systemic tendency toward abnormal wound healing in affected individuals.

Diagnosis and Tests

At Liv Hospital, a definitive diagnosis is achieved through a combination of physical palpation and advanced imaging. As explored further in the Diagnosis and Tests section, we utilize high-resolution penile Doppler ultrasound to visualize the plaque’s density and calcification. We also perform curvature assessments using “artificial erection tests” to provide the objective measurement of the angle. This precision ensures that we can distinguish between Peyronie’s and congenital curvature, allowing for an accurate treatment roadmap.

Treatment and Care

We utilize a multi-staged approach to care that adapts to the patient’s phase and severity. In the active phase, the focus is on stabilizing the curve through oral medications and traction therapy. For more established plaques, intralesional injections (like collagenase) are used to break down scar tissue. For severe, stable deformities, our Treatment and Care section details surgical options such as plication, grafting, or penile implants, which are the gold standard for restoring functional straightness.

Recovery and Follow-up

Recovery from Peyronie’s treatments involves a dedicated period of “penile rehabilitation.” Whether the patient undergoes injection therapy or surgery, the recovery and follow-up phase is crucial to maintain results. This includes the use of vacuum devices or traction to prevent the return of the curve and ensure surgical sites heal elastically. At Liv Hospital, long-term surveillance is key to monitoring erectile function and ensuring the patient’s psychological and physical transition back to a healthy sexual life is successful.

The Mechanism of Curvature and Deformity

Peyronie’s can manifest in various shapes. While an upward or lateral curve is most common, some men experience an “hourglass” deformity where the penis narrows significantly in the middle. Others may notice an “indentation” or a sudden hinge-like instability. This occurs because the plaque can encircle the penis or be localized to one side. At Liv Hospital, we map these deformities precisely to ensure that any future surgical intervention accounts for the specific geometry of the scar tissue.

Psychological Impact and Sexual Well-being

Beyond the physical curve, the emotional toll of Peyronie’s disease is profound. It often leads to performance anxiety, depression, and a loss of masculinity. We recognize that the mind needs as much care as the body. Our clinical approach at Liv Hospital integrates sexual health counseling into the treatment plan. We help patients and their partners navigate the challenges of a changing body, ensuring that the “restoration” of the man includes his confidence and his relationship health as much as his anatomical straightness.

Expertise at Liv Hospital

Liv Hospital stands as a global center of excellence for andrology and reconstructive urology. We combine world-class surgical expertise with the latest pharmacological advancements to provide a comprehensive sanctuary for men’s health. We provide a discreet, professional environment where patients can seek help for sensitive issues without embarrassment. Our multidisciplinary team—from urologists to therapists—ensures that every patient receives a personalized, evidence-based plan to restore his sexual health and overall quality of life.

Symptoms and Risk Factors

Peyronie disease may cause penile curvature, pain, and erectile dysfunction due to fibrous plaque formation. At Liv Hospital, comprehensive evaluation helps identify symptoms and underlying risk factors for effective treatment.

Peyronie Disease Symptoms and Risk Factors

The Development of Penile Plaque

The hallmark symptom of Peyronie’s disease is the presence of a hard, flat lump or a band of scar tissue known as a plaque. This plaque is typically felt under the skin of the penis and is fundamentally different from the surrounding soft erectile tissue. At Liv Hospital, we describe these plaques as the “anchor” of the deformity. They can be located on any side of the penis—top, bottom, or sides and their position determines the direction in which the penis will eventually bend during an erection.

Significant Penile Curvature

The most distressing and visible symptom is the bend that occurs during an erection. This curvature can be quite dramatic, sometimes exceeding 60 to 90 degrees.

  • Directional Variations: Depending on where the plaque is situated, the penis may curve upward (dorsal), downward (ventral), or to either side (lateral).
  • Hourglass Deformity: In some cases, the plaque encircles the entire shaft, creating a “waist” or narrowing in the middle of the penis, which can make the organ feel unstable or “hinged” during intercourse.

Pain During Erections

Pain is a frequent symptom, particularly during the active (inflammatory) phase of the disease. This pain is caused by the acute inflammation of the tunica albuginea as it tries to expand against the rigid, developing scar tissue. At Liv Hospital, we monitor this pain closely, as its resolution is often the signal that the disease has reached the chronic phase, allowing us to move forward with definitive corrective treatments.

Loss of Length and Girth

Many men notice that their penis has become shorter or thinner since the onset of Peyronie’s disease. This is not due to a loss of erectile tissue but is a mechanical consequence of the scarring. The dense collagen plaque essentially “shrinks” the affected side of the penis, pulling the healthy tissue inward and reducing the overall functional length. At Liv Hospital, we utilize specialized traction therapies to help counteract this shrinkage.

Erectile Dysfunction (ED)

There is a strong correlation between Peyronie’s disease and erectile dysfunction. This can be caused by the physical plaque interfering with the blood-trapping mechanism of the penis (venous leak), or it can be a secondary psychological effect. The anxiety and stress caused by the deformity often lead to performance anxiety, making it even more difficult to achieve or maintain a firm erection.

The “Micro-Trauma” Risk Factor

The most widely accepted theory for the cause of PD is repeated minor injury to the penis during sexual activity, sports, or accidents. While many men experience such “micro-traumas” without issue, in certain individuals, the body’s healing response is abnormal. Instead of repairing the tissue with elastic fibers, the body overproduces dense, inelastic collagen, leading to the formation of a permanent scar.

Genetics and Dupuytren’s Contracture

Genetics play a significant role in who develops Peyronie’s. There is a well-documented link between PD and Dupuytren’s contracture, a condition where scar tissue forms in the palm of the hand, causing the fingers to pull inward. Men who have Dupuytren’s or have a family history of fibrous scarring disorders are at a much higher risk of developing Peyronie’s plaques after a minor injury.

Age as a Contributing Factor

While Peyronie’s disease can affect men of all ages, it is most commonly diagnosed in men between the ages of 45 and 65. As men age, the elasticity of the tunica albuginea naturally decreases, and the blood supply to the pelvic region may be less robust. This makes the penile tissues more susceptible to injury and less efficient at healthy, scar-free healing.

Systemic Health and Metabolic Risks

Chronic health conditions can significantly exacerbate the risk of PD.

  • Diabetes: High blood sugar impairs small-vessel circulation and nerve health, both of which are critical for proper wound healing.
  • Hypertension and Smoking: Both conditions damage the lining of the blood vessels (endothelium). This systemic vascular stress can lead to a more aggressive inflammatory response in the penis following a minor injury.

How Are Peyronie Disease Risk Factors Evaluated at Liv Hospital?

At Liv Hospital, we don’t just look at the curve; we look at the whole man. Our diagnostic protocols include a comprehensive review of your metabolic health, genetic background, and lifestyle factors. By identifying your specific risk profile, such as untreated diabetes or tobacco use, we can create a “protective” treatment plan that aims not only to straighten the penis but also to improve your overall vascular health. Our goal is to provide a safe, effective path to recovery that accounts for every factor influencing your sexual well-being.

Diagnosis and Tests

Peyronie disease is diagnosed through physical examination, ultrasound imaging, and functional testing. At Liv Hospital, precise evaluation helps determine plaque location and guide personalized treatment planning.

Peyronie Disease Diagnosis and Tests

The Clinical Pathway to Diagnostic Clarity

At Liv Hospital, the diagnosis of Peyronie’s disease (PD) is far more than a visual confirmation of curvature. We treat the diagnostic phase as a critical mapping exercise designed to determine the plaque’s maturity, its anatomical depth, and its impact on blood flow. Because every case of PD is unique, our experts use a standardized clinical pathway to distinguish between Peyronie’s and other conditions, such as congenital curvature or localized penile tumors. This thoroughness ensures that the treatment plan we propose is perfectly aligned with the biological phase of your disease.

Comprehensive Medical and Sexual History

The first step in our diagnostic protocol is a detailed consultation. Our specialists will discuss the timeline of your symptoms, specifically focusing on when the curve was first noticed and whether it is still changing.

  • The Chronicity Assessment: We determine if you are in the “Active Phase” (ongoing pain and changing shape) or the “Chronic Phase” (stable curve and resolved pain).
  • Impact Evaluation: We assess how the condition affects your ability to perform intercourse and evaluate any concurrent symptoms of erectile dysfunction (ED).

Physical Palpation and Plaque Localization

A hands-on physical examination is essential to identify the physical characteristics of the scar tissue. While the penis is in a flaccid (non-erect) state, the urologist at Liv Hospital will palpate the shaft to locate the plaque.

  • Identifying the Scar: We feel for the size, density, and number of plaques. These can range from small, pea-sized nodules to long, cord-like bands.
  • Stretching Length: We also measure the “stretched penile length,” which serves as a vital baseline for monitoring the effectiveness of traction therapy or predicting surgical outcomes.

Artificial Erection Test (Induce Erection)

To accurately measure the degree and direction of the curve, we must see the penis in an erect state. Since natural erections can be difficult to achieve in a clinical setting, we perform an “artificial erection test.”

  • Vasodilator Injection: A small amount of a medication (like alprostadil) is injected into the erectile chamber to produce a temporary, firm erection.
  • Angle Measurement: Using a specialized tool called a goniometer, our specialists measure the exact angle of the bend. This objective measurement is crucial for surgical planning and for meeting the criteria for certain injectable treatments.

Penile Doppler Ultrasound (High-Definition Mapping)

At Liv Hospital, the gold standard for visualizing internal penile structure is the color Doppler ultrasound. This non-invasive test provides a high-definition map of the penis’s internal landscape.

  • Plaque Characterization: We can see the exact thickness of the plaque and determine if it has become “calcified” (turned into a bone-like density). Calcified plaques are often more resistant to injections and may require a specific surgical approach.
  • Vascular Health: The Doppler function allows us to measure blood flow into and out of the penis, helping us determine if any erectile dysfunction is due to the plaque itself or an underlying vascular issue.

Calcification Grading

  • The density of the plaque is a major factor in treatment selection. During the ultrasound, we grade the level of calcification.

    • Non-Calcified: These plaques are typically softer and more responsive to non-surgical treatments like injections.
    • Severely Calcified: These show significant shadowing on ultrasound and indicate a very mature, stable plaque that is best addressed through surgical reconstruction.

Assessing for Concurrent Conditions

  • During the diagnostic phase, we look for associated conditions that could complicate treatment or provide clues about the disease’s progression.

    • Dupuytren’s Check: We examine your hands for signs of palmar scarring, which confirms a systemic predisposition to fibrous tissue disorders.
    • Metabolic Screening: Since vascular health is paramount, we may order blood tests to check your HbA1c (blood sugar) and lipid profile, ensuring that any underlying diabetes or hypertension is managed alongside the PD.

Photographic Documentation and Self-Assessment

  • We encourage patients to bring photographs of their erections taken from different angles (top, side, and front) at home.

    • Patient-Led Data: These photos provide a “real-world” view of the curvature that may differ slightly from the artificial induction.
    • Progress Tracking: These images are stored in your secure Liv Hospital medical record to help track the evolution of the curve over time, especially during the active inflammatory phase.

Sensory and Nerve Evaluation

  • In some cases of Peyronie’s, the plaque can be positioned near the dorsal nerves, which are responsible for sensation in the penis.

    • Sensitivity Testing: We assess for any areas of numbness or hypersensitivity.
    • Neurological Integrity: Ensuring that the nerves are not compressed is a priority, especially when planning for surgical “grafting” procedures that require maneuvering around these delicate structures.

How Is Peyronie Disease Diagnosed at Liv Hospital?

  • At Liv Hospital, the data from your ultrasound, artificial erection test, and medical history are reviewed by a board of andrology experts. This ensures that every nuance of your condition—from the degree of calcification to your vascular flow—is considered. We provide you with a detailed diagnostic report and take the time to explain the findings using 3D models. Our goal is to ensure you fully understand the mechanics of your condition before we move into the treatment and care phase. At Liv Hospital, precision in diagnosis is the first step toward a straight, functional, and confident future.

Treatment and Care

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.

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.

Management of the Active Phase: Stabilization

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.

Penile Traction Therapy (PTT)

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.

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.

Recovery and Follow-up

Recovery after Peyronie disease treatment requires guided rehabilitation and regular follow-up. At Liv Hospital, structured care helps maintain results, support healing, and reduce recurrence risk.

Peyronie Disease Recovery and Follow-up

What Is Peyronie Disease Recovery at Liv Hospital?

Recovery from Peyronie’s Disease (PD) treatments at Liv Hospital is an active process that we call “penile rehabilitation.” Whether you have undergone surgery, received a series of injections, or utilized mechanical therapies, the weeks following your procedure are critical for determining the final outcome. In the medical landscape of 2026, we emphasize that the body’s healing response must be guided to ensure the penis remains straight, elastic, and functional. Our follow-up protocols are designed to monitor tissue remodeling and provide the support needed to prevent the recurrence of the curvature.

Immediate Post-Surgical Recovery (First 48 Hours)

For patients who undergo reconstructive surgery (plication or grafting), the initial focus is on wound healing and edema management.

  • Wound Care: Most patients will have a specialized “snug” dressing to minimize swelling. This is typically removed at Liv Hospital within 24–48 hours.
  • Activity Restrictions: We recommend rest for the first two days. Most patients can return to light office work within 3–5 days, but high-impact physical activity must be avoided.
  • Sensation Monitoring: It is normal to feel minor numbness or hypersensitivity in the initial days; our team monitors this closely during your first post-operative check-up.

Penile Splinting” and the Use of Traction

To prevent the penis from “re-curving” as internal scars form, we often utilize mechanical support during recovery.

  • Traction Devices: Starting 2 to 4 weeks after surgery or injections, patients may be instructed to use a medical traction device for a few hours a day. This acts as a “splint,” ensuring the tissue heals in an elongated, straight position.
  • Vacuum Erection Devices (VED): We may prescribe a vacuum pump to encourage blood flow and “stretch” the tissues gently, which is particularly useful for maintaining penile length and girth during the remodeling phase.

Resuming Sexual Activity: The 6-to-8 Week Milestone

One of the most frequent questions we receive is when it is safe to return to intimacy.

  • Gradual Reintegration: At Liv Hospital, we typically clear patients for sexual activity 6 to 8 weeks after surgery. This allows the internal sutures or grafts to gain full structural strength.
  • First-Time Guidance: We provide counseling on how to safely resume intimacy, often recommending specific positions or the use of lubricants to minimize initial strain on the surgical site.
  • Injection Patients: For those undergoing collagenase injections, the “modeling” performed by the physician is the primary activity, with sexual intercourse usually permitted between injection cycles.

Managing Erectile Function Post-Treatment

Maintaining healthy blood flow is essential for a successful recovery.

  • PDE5 Inhibitors: Even if a patient did not have severe ED before, we often prescribe low-dose medications (like Tadalafil) during the recovery phase. This encourages nocturnal erections, which act as a natural stretching mechanism for the penis.
  • Monitoring Blood Flow: During follow-up visits, we may perform repeat Doppler ultrasounds to ensure that the surgery or injections have not negatively impacted the vascular supply to the erectile chambers.

Long-Term Monitoring for Plaque Recurrence

Peyronie’s disease can be unpredictable. While rare after successful surgery, a new area of scarring can sometimes develop.

  • The 6-Month Assessment: This is a major milestone where we reassess the final degree of straightness and the stability of the plaque.
  • Annual Check-ups: We recommend a yearly visit to the Liv Hospital andrology clinic to ensure that the results are holding steady and to address any new changes in penile shape or function as the patient ages.

Psychological Adjustment and Confidence Building

A physical correction is only half the battle; the psychological “recovery” of one’s sexual identity is equally important.

  • Body Image Support: Many men struggle with the anxiety that the curve will return. Our follow-up program includes access to sexual health specialists who help patients regain confidence in their appearance and performance.
  • Partner Support: We offer joint follow-up sessions where partners can learn about the healing process, which helps reduce relationship stress and fosters a supportive environment for the patient.

Pain Management and Nerve Health

While most chronic pain disappears after the active phase, the surgical site can remain sensitive during the healing process.

  • Nerve Sensitivity: If grafting was performed, we monitor the dorsal nerves for several months. In 2026, we utilize advanced neuro-protective protocols to ensure that sensation is preserved.
  • Localized Comfort: We provide specialized creams or oral medications to manage any “twinges” or discomfort that may occur during the remodeling of the scar tissue.

Digital Follow-up and The “Liv Andrology” App

To make recovery as convenient as possible, we utilize the Liv Hospital Patient Portal.

  • Progress Photos: Patients can securely upload photos of their recovery progress for their surgeon to review, allowing for “virtual wound checks.”
  • Traction Tracking: For those using traction devices, our app helps you log your usage hours and provides instructional videos to ensure you are using the device safely and effectively at home.

How Does Liv Hospital Support Long-Term Peyronie Disease Care?

At Liv Hospital, our relationship with our Peyronie’s patients is a long-term commitment. We understand the courage it takes to seek treatment for this condition, and we are dedicated to ensuring that your results are durable and life-changing. Our multidisciplinary team—from surgeons to rehabilitation specialists—is focused on one goal: restoring your functional health and your confidence. With the most advanced 2026-standard follow-up protocols, Liv Hospital provides the safety and expertise you need to move beyond Peyronie’s Disease and back into a full, active life.

FREQUENTLY ASKED QUESTIONS

Is Peyronie’s Disease a form of cancer?
  1. No. Peyronie’s is a benign (non-cancerous) condition. It is a scarring process of the connective tissue, not a tumor, and it does not spread to other organs.
  1. While the injury that causes it might be sudden, the plaque usually develops over weeks or months. Most men notice the curvature for the first time during an erection.
  1. Yes. In almost all cases, the pain associated with Peyronie’s Disease resolves on its own as the condition moves from the active inflammatory phase to the chronic stable phase.
  1. No, the disease is limited to the structural sheath of the penis and does not affect the testicles, sperm production, or hormonal levels.
  1. Oral medications are primarily used in the active phase to reduce pain and slow progression. While they help, they rarely “straighten” a significant curve on their own without the help of traction or injections.
Can I develop Peyronie’s if I haven’t had a major injury?
  1. Yes. Most men do not recall a single “event.” The disease is usually caused by repeated “micro-traumas” during normal sexual activity that go unnoticed at the time.
  1. No. While pain is common in the early stages, some men only notice the curvature or the hard lump without any accompanying discomfort.
  1. No. While dorsal (upward) curves are common, the plaque can form anywhere, leading to downward or side-bending deformities.
  1. You have a higher genetic predisposition, but it is not a guarantee. Maintaining good vascular health and avoiding penile strain can help reduce your risk.

Smoking impairs the body’s ability to heal wounds correctly. In Peyronie’s patients, continued smoking can lead to a more dense, calcified plaque that is harder to treat.

Does the injection for the artificial erection test hurt?
  1. Most patients describe it as a tiny pinch, similar to a pinprick. We use an ultra-fine needle to ensure the procedure is as comfortable as possible.
  1. While pictures show the angle, ultrasound shows the structure. We need to know the thickness and calcification level of the plaque to decide if injections will work or if surgery is better.
  1. Yes, it uses sound waves and does not involve any radiation. It is a completely safe and non-invasive way to see inside the penile tissues.
  1. A full evaluation, including the history, physical exam, and Doppler ultrasound, usually takes about 60 to 90 minutes.
  1. The medication usually wears off within 30 to 60 minutes. However, we monitor you in the clinic to ensure the erection has fully subsided before you leave.
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.
How long do I have to use the traction device after surgery?
  1. Typically, we recommend using the device for 2–4 hours a day for about 3 to 6 months post-surgery to ensure the best possible length and straightness.
  1. Yes. The permanent sutures used in plication are small but can sometimes be felt under the skin. Over time, the body builds tissue around them, and they become less noticeable.
  1. Spontaneous nocturnal erections are normal and usually won’t damage the repair. However, you should avoid “intentional” erections or sexual stimulation for the first few weeks as directed.
  1. Most partners report that the penis feels “straighter and more stable.” If a graft was used, it may feel slightly firmer in that specific area initially, but it softens over time.
  1. It is very rare for the original plaque to cause a new curve after successful surgery. However, new injuries (trauma) could theoretically cause a new plaque. Maintaining good sexual health is the best prevention.
  1. No. Peyronie’s is a benign (non-cancerous) condition. It is a scarring process of the connective tissue, not a tumor, and it does not spread to other organs.
  1. While the injury that causes it might be sudden, the plaque usually develops over weeks or months. Most men notice the curvature for the first time during an erection.
  1. Yes. In almost all cases, the pain associated with Peyronie’s Disease resolves on its own as the condition moves from the active inflammatory phase to the chronic stable phase.
  1. No, the disease is limited to the structural sheath of the penis and does not affect the testicles, sperm production, or hormonal levels.
  1. Oral medications are primarily used in the active phase to reduce pain and slow progression. While they help, they rarely “straighten” a significant curve on their own without the help of traction or injections.

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