Expert Treatment for Peyronie’s Disease and Penile Curvature in Istanbul
- Tuncay Taş
- Oct 1
- 5 min read
Updated: Oct 6
Peyronie’s disease is a condition characterized by the development of scar tissue, or fibrous plaque, inside the penis. This leads to abnormal curvature, shortening, and in some cases, significant erectile dysfunction. While it may initially seem like a cosmetic concern, Peyronie's disease can cause painful erections and make sexual intercourse difficult or impossible. Many men experience anxiety and a decline in self-confidence.
At Safe Urology Clinic in Istanbul, we are experts in the advanced diagnosis and treatment of Peyronie’s disease. Our primary goal is to restore normal penile function and patient comfort using internationally recognized, evidence-based methods. In this guide, we will explain the causes, symptoms, and the most effective surgical and non-surgical solutions for penile curvature correction.
What Is Peyronie’s Disease?
Peyronie’s disease develops when scar tissue forms in the tunica albuginea, the elastic sheath surrounding the erectile chambers of the penis. This inelastic plaque prevents the penis from stretching uniformly during an erection, which results in a bend, indentation, or a "waist deformity."
Key Features of Peyronie’s Disease:
Noticeable curvature of the penis during erection (upward, downward, or to the side)
A gradual shortening of penile length
Painful erections, especially in the early stages
Development of erectile dysfunction in some patients
Psychological distress and a reduction in sexual satisfaction
The Two Stages of Peyronie’s Disease
Acute (Early) Phase: This initial phase typically lasts for the first 6–12 months.
The penile curvature may progressively worsen.
Pain during erection is a common symptom.
The plaque is still actively forming.
Chronic (Stable) Phase: This phase begins after about 12 months.
The curvature stabilizes and no longer changes.
Pain during erection usually subsides.
The main issue becomes the mechanical difficulty of intercourse due to the deformity.
Diagnosis and Evaluation at Safe Urology Clinic
An accurate diagnosis is the most critical step in creating an effective treatment plan. At Safe Urology Clinic, we use a comprehensive evaluation process:
Physical Examination: Our urologists can often feel the plaque under the skin of the penis.
Penile Doppler Ultrasound: This imaging test evaluates blood flow, measures plaque size, and determines the exact degree of curvature.
Photographic Assessment: Patients may be asked to provide photos of the erect penis for objective documentation.
Erection Tests: These are used to determine if erectile dysfunction is also a factor.
Treatment Options for Peyronie’s Disease
Treatment is tailored to the stage of the disease, the severity of the curvature, and the patient's ability to have intercourse.
1. Non-Surgical Treatments
These options are generally recommended during the acute phase or for men with mild curvature who can still engage in satisfactory intercourse.
Injection Therapy: Certain medications are injected directly into the plaque to help break down the scar tissue.
Traction Devices: These mechanical devices apply gentle, sustained stretching to reduce curvature and preserve penile length.
Regenerative Medicine: Therapies like PRP and stem cells are being explored for their potential to remodel scar tissue.
Oral Medications & Shockwave Therapy: These have shown limited benefit for curvature but may help reduce pain in the early phase.
These options are rarely sufficient for correcting severe deformities.
2. Surgical Treatments: The Gold Standard
Surgery is the most effective and definitive solution for men in the chronic (stable) phase of Peyronie’s disease, especially when:
The curvature is severe (often greater than 60 degrees).
The deformity prevents sexual intercourse.
Non-surgical treatments have not been successful.
a) Nesbit Procedure (Plication Surgery)
This technique involves shortening the longer, unaffected side of the penis to straighten the curvature.
Best for: Men with good erections and adequate penile length.
Advantage: High success rate and simple procedure.
Disadvantage: Results in a slight loss of penile length (typically 1–2 cm).
b) Grafting Technique (Incision/Excision and Grafting)
Here, the surgeon cuts the plaque to release the tension and fills the gap with a graft material.
Best for: Men with severe curvature or significant indentation.
Advantage: Preserves penile length.
Disadvantage: Carries a slightly higher risk of post-operative erectile dysfunction.
c) Penile Prosthesis (Implant) Surgery
This is the recommended solution when Peyronie’s disease coexists with moderate to severe erectile dysfunction.
Best for: Men who cannot achieve or maintain an erection suitable for intercourse.
Advantage: It is the most definitive solution, correcting both the curvature and the erectile dysfunction in a single surgery.
Outcome: Modern inflatable implants provide a natural-looking and functional result.
Your Journey: From Preparation to Recovery
Preparing for Surgery
You will have a detailed consultation with your doctor.
It is essential to manage chronic conditions like diabetes or hypertension.
You will be instructed to stop eating and drinking 6 hours before the procedure.
Routine pre-operative tests will be completed to ensure you are fit for anesthesia.
Recovery After Peyronie’s Surgery
Mild swelling and bruising are normal and will subside.
Any discomfort is easily managed with oral pain medication.
You must avoid sexual intercourse for approximately 6 weeks.
Heavy physical activities should also be avoided for 4–6 weeks.
Your first follow-up visit will be scheduled within 7–10 days.
Outcomes and Success Rates
The outcomes of surgical correction are excellent.
Over 85–90% of patients achieve a functionally straight penis suitable for intercourse.
Recurrence of significant curvature is rare.
When a penile prosthesis is implanted, success rates are even higher, providing a permanent solution for both curvature and erectile function.
Frequently Asked Questions (FAQs)
Q1: Will I lose penile length after surgery?
Plication (Nesbit) surgery can cause a slight reduction in length. Grafting and prosthesis surgery are designed to preserve length.
Q2: Can Peyronie’s disease be treated without surgery?
Yes, mild cases in the acute phase may respond to non-surgical treatments. However, surgery remains the gold standard for severe, stable curvature.
Q3: When can I resume sexual activity?
Typically after 6 weeks, once your surgeon confirms that healing is complete.
Q4: What if I also have erectile dysfunction?
In this case, penile prosthesis surgery is the best option, as it solves both problems simultaneously.
Q5: Is Peyronie’s surgery risky?
All surgeries have risks, but when performed by an experienced surgeon, the risks (such as infection, penile shortening, or worsening ED) are minimal.
Q6: Why choose Safe Urology Clinic for my treatment?
Our expert urology team performs a high volume of penile surgeries with outstanding success rates. We provide personalized care, utilize modern techniques, and offer comprehensive support for international patients.
Conclusion
Peyronie’s disease is a treatable condition. Although it can cause significant physical and psychological distress, modern medical advancements offer effective solutions. At Safe Urology Clinic, our mission is to help you restore penile function, regain your confidence, and return to a healthy, satisfying sexual life.
📍 Istanbul, Turkey 📞 WhatsApp & Clinic Line: +90 532 178 74 59
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