⚠️ Signs & Symptoms

  • Penile curvature during erection (upward, downward, or sideways)
  • Palpable lumps or plaques in the penis shaft
  • Pain during erection (especially in acute phase)
  • Erectile dysfunction or difficulty maintaining erection
  • Shortening of the penis
  • Narrowing or indentation of the penis
  • Painful intercourse or inability to penetrate
  • Psychological distress and anxiety

🔬 Diagnostic Tests

  • Detailed medical history and physical examination
  • Penile ultrasound (duplex Doppler)
  • Photography for curvature documentation
  • Plaque mapping and measurement
  • Erectile function assessment
  • Blood tests (hormonal profile)
  • Psychological evaluation if needed
  • Patient questionnaires (IIEF, PDQ)

📊 Disease Phases & Progression

🔥 Acute/Inflammatory Phase (6-18 months)
  • Active plaque formation and inflammation
  • Pain during erections (especially prominent)
  • Progressive curvature development
  • Optimal time for non-surgical treatments
⚖️ Chronic/Stable Phase (12+ months)
  • Pain typically resolves or diminishes
  • Curvature stabilizes (no further progression)
  • Plaque may calcify and become harder
  • Surgical intervention may be considered

💊 Non-Surgical Treatments

  • Oral Medications: Colchicine, Vitamin E, Pentoxifylline
  • Injection Therapy: Xiaflex (Collagenase), Verapamil, Interferon
  • Shock Wave Therapy: Low-intensity extracorporeal shock wave
  • Traction Devices: Penile stretching devices
  • Vacuum Therapy: Vacuum constriction devices
  • Topical Treatments: Verapamil gel, Potassium para-aminobenzoate
  • Supplements: Acetyl-L-carnitine, Coenzyme Q10
  • Lifestyle Modifications: Diet, exercise, stress management

🏥 Surgical Options

  • Plication Procedures: Nesbit, 16-dot, plication sutures
  • Plaque Incision/Excision: With grafting (pericardium, vein, synthetic)
  • Penile Implants: Inflatable or semi-rigid prostheses
  • Combination Therapy: Implant with modeling/straightening
  • Minimally Invasive: Endoscopic and laparoscopic techniques
  • Revision Surgery: For complications or recurrence
  • Reconstructive Surgery: For complex cases
  • Same-day Surgery: Most procedures are outpatient

🏆 Treatment Timeline & Process

1

Initial Consultation

Comprehensive evaluation, diagnosis confirmation, and treatment planning

2

Conservative Treatment

6-12 months of non-surgical therapies in acute phase

3

Assessment

Re-evaluation of symptoms and treatment response

4

Advanced Treatment

Surgical intervention if conservative treatment insufficient

5

Recovery & Follow-up

6-12 weeks recovery with regular monitoring

✨ Treatment Benefits

  • Significant reduction in penile curvature
  • Improved erectile function
  • Pain relief during erections
  • Enhanced sexual satisfaction
  • Restored confidence and self-esteem
  • Better quality of life
  • Improved partner satisfaction
  • Long-term results with proper treatment

🎯 Why Choose Us

  • Specialized Peyronie's Disease Center
  • Latest FDA-approved treatments
  • Minimally invasive surgical techniques
  • Personalized treatment plans
  • Comprehensive pre and post-operative care
  • Experienced urological surgeons
  • Advanced diagnostic equipment
  • Dedicated patient support team

👨‍⚕️ Meet Our Peyronie's Disease Specialists

Dr

Dr. Ramdas - Chief Urologist & Peyronie's Disease Specialist

MD, MS Urology, Fellowship in Reconstructive Urology

20+ Years Experience • 500+ Peyronie's Cases • Board Certified

Specializes in advanced surgical techniques, penile reconstruction, and Xiaflex injections