Learn all about Peyronie’s before and after treatment options that may correct penile curvature and help improve erectile function.
Peyronie’s Disease is a condition characterized by fibrous scar tissue formation in the penis, resulting in an abnormal curvature during erection. The condition may lead to physical discomfort, difficulty with sexual intercourse, and a significant psychological impact.
Over recent decades, several surgical techniques have been developed and now offer potential options to manage this condition. Surgery for Peyronie’s Disease may be indicated in selected cases to straighten the curvature and support erectile function, which can contribute to the patient’s quality of life.
Below, we explain the surgical procedure in detail and bring important considerations for those who received this treatment recommendation.
Peyronie’s before and after: is it possible to reverse the disease?
When performed appropriately by a qualified professional, surgery for Peyronie’s Disease may provide benefits in managing curvature, with the possibility of improvement in erectile function and quality of life, depending on the treatment strategy adopted.
Although these interventions may improve penile appearance and function, it is important to remember that each case is unique. Therefore, discussing all available treatment options with an experienced physician is essential before deciding whether to proceed with surgery.
Peyronie’s Disease surgery: all about the procedure
The surgery for Peyronie’s aims to address damage caused by penile fibrosis. Different techniques may be used—alone or combined—according to each patient’s needs.
In one technique developed by Dr. Paulo Egydio, the procedure involves expanding the affected tissue with micro-incisions so the penis becomes more aligned, with optimized girth and length, within anatomical limits.
It may also be necessary to place a penile implant to complement rigidity.
How the preoperative period works
The preoperative stage for Peyronie’s surgery involves several steps. It starts with a medical consultation to assess the patient’s condition and discuss treatment options, since surgery is not always necessary.
The decision to perform surgery—and which technique to use—depends on imaging, clinical evaluation, and the patient’s medical history.
At this stage, preoperative tests are also requested, such as:
- Blood tests – to assess coagulation and overall status;
- Pharmaco-induced erection test – the patient receives, via injection, a medication that induces erection, allowing the evaluation of total erectile capacity;
- Penile ultrasound – to analyze internal structures and hemodynamics (blood flow to the corpora cavernosa and spongiosum).
These and other tests help the surgeon better understand the patient’s anatomy, allowing a more precise and safe decision regarding the need for surgery and the technique to be used.
In the preoperative period, the patient will also receive guidance, such as stopping medications that increase bleeding risk.
Following all medical instructions and clarifying questions before the procedure is key for safety and realistic expectations.
Why is it important to review the patient’s clinical history?
Reviewing medical history before Peyronie’s surgery is essential to reduce the risk of complications during and after the procedure. It also helps define the most appropriate surgical approach for each case.
During the evaluation, factors such as pre-existing conditions, current or past medications, allergies, smoking, and coagulation disorders are considered, among others.
Based on this information, the professional can tailor the treatment plan, supporting procedural safety and appropriate clinical outcomes.
Postoperative: the adaptation period
Recovery after Peyronie’s surgery varies by patient. Swelling, bruising, and temporary discomfort are common immediately after the procedure and tend to decrease over time.
Regarding appearance, surgery for penile curvature may contribute to penile alignment, depending on the technique used and each patient’s clinical condition.
Sensitivity and touch perception may be temporarily reduced but tend to progressively return to the usual pattern throughout recovery.
After leaving the operating room, patients should follow medical guidance, including proper dressing care, taking prescribed medications, and abstaining from sexual activity and strenuous exercise until fully recovered.
Finally, it is worth noting that regional and federal medical councils in Brazil prohibit “before and after” photos for Peyronie’s surgery. Therefore, physicians cannot share images of operated patients.
Main surgical techniques used to address penile fibrosis
Currently, there are several techniques available for Peyronie’s surgery. Below, we present the main ones, with a brief explanation of each:
Nesbit (Plication)
With the Nesbit technique — also known as plication — sutures are placed on the opposite side of the curvature, shortening that side to help correct the deviation.
It is a relatively straightforward procedure, but it has limitations, such as potential reduction in penile length and, in some cases, a decrease in rigidity during erection.
This technique tends to be indicated for patients with milder, less complex curvatures.
Sliding (lengthening/relaxation)
Indicated for more extensive and complex curvatures, the Sliding technique is used in the surgical management of Peyronie’s Disease.
In this procedure, the surgeon makes incisions in the tunica albuginea— the tissue that covers the corpora cavernosa — on both sides of the curvature. Then, the edges of these incisions are slid toward each other, helping to straighten the penis.
The sliding can be completed with suturing techniques or with the use of grafts, combining approaches to achieve the planned surgical goals.
Penile grafting
In this procedure, the surgeon incises the scar tissue to realign the penis. The resulting “defect” is then filled with a healthy tissue graft to help correct curvature. Grafts may be harvested from other body sites or produced from synthetic materials.
In addition to addressing the deviation, grafting may be used to preserve or lengthen penile size in cases where fibrosis has already caused significant loss of length.
Penile implant for Peyronie’s Disease
During Peyronie’s surgery, it may be necessary to implant a penile prosthesis. Fibrosis is associated with erectile dysfunction, which can compromise erectile capacity.
It is important to note that the implant does not correct fibrosis; its role is to help the patient achieve firmer erections, and it is not a solution for the deformities caused by fibrotic tissue.
Egydio Technique: postoperative quality-of-life considerations
Internationally known as Egydio’s Technique, the Egydio Technique was developed by Dr. Paulo Egydio and has been used since the 2000s.
It seeks to balance tissue elasticity based on geometric principles, allowing alignment and maximizing feasible penile length and girth while respecting neural structures. This reconstruction approach replaces traditional large grafts with multiple small incisions.
Scientific literature describes this technique as an alternative that aims to preserve penile length in complex cases, compared with approaches that may reduce size in severe deformities.
Schedule your appointment to discuss Peyronie’s surgery
Peyronie’s before and after is a complex topic that requires thorough discussion between surgeon and patient. Dr. Paulo Egydio is available to listen and address your questions attentively.
With broad experience in the field, Dr. Paulo Egydio is available to clarify doubts about Peyronie’s Disease and its treatments.
Contact Dr. Paulo Egydio to clarify your questions and review the most appropriate options for your case.
