A new bend, a dent, an hourglass shape, lost length, or pain with erections. If something changed and it’s not going back, it may be Peyronie’s disease.
It’s more common than most men realize, it’s very treatable, and the earlier you deal with it, the more options you have. Here’s what it is and how we treat it, honestly.
Peyronie’s is scar tissue, called plaque, that forms in the lining of the erectile tissue. Scar tissue doesn’t stretch, so during an erection the penis bends toward it, dents, or shortens.
It often starts after small, unnoticed injuries during sex, and it’s more common with age, diabetes, and certain connective tissue conditions. Estimates suggest up to about one in ten men have it, though many never talk about it.
The active phase usually lasts the first 6 to 18 months. The curve may still be changing, and erections can be painful. The goal here is to calm things down and keep it from getting worse.
The stable phase comes once the curve stops changing and the pain settles. The goal shifts to straightening, restoring length, and making sex work well again.
Knowing which phase you’re in changes the plan, which is one reason not to wait.
Pain often improves within weeks of starting shockwave. Changes in curvature and length come more slowly, over the months of the program, and depend heavily on daily traction use.
Results vary. Your plan and expectations will be based on your own evaluation.
Some cases settle on their own, but many don’t, and length lost during the active phase can be hard to get back. Starting traction early is one of the few things shown to help preserve it.
It’s also worth knowing that Peyronie’s often comes with erection problems and can affect confidence and relationships. Treating it well means looking at the whole picture.
We’re a cash-pay clinic, so there are no surprise insurance bills.
The Straight Answer Program is $12,500 for six months, including evaluation, Doppler ultrasound, measurement and tracking, your traction and vacuum devices, tadalafil, focused shockwave, the verapamil series, and three rounds of PRP. Nanofat can be added for $4,500.
You’ll get a clear quote after your first visit, before anything starts.
In-office ultrasound and precise measurement, a focused shockwave device, and a full non-surgical toolkit in one place. And when surgery or Xiaflex is the better answer, we’ll tell you and refer you to a urologist we trust.
Sometimes, but not usually. Many men stay the same or get worse, which is why we recommend acting early.
No. It’s scar tissue, and it isn’t contagious or cancerous.
Daily traction can help preserve and sometimes restore length, especially when started early. We’ll measure so you can see the results.
Most men don’t. Surgery is usually reserved for severe or disabling curves once the condition is stable, and we’ll refer you if it’s the right call.
It can. Peyronie’s and ED often go together, which is why we check blood flow as part of the evaluation.
Book a consultation and bring your questions, even the awkward ones. Especially the awkward ones.
