Surgery for Peyronie’s Disease is indicated in more severe cases, when there is significant penile deformity and compromised sexual function.
Peyronie’s Disease is characterized by the formation of scar tissue plaques in the penis. These hardened areas do not expand during erection, which can cause curvature.
But does every Peyronie case need a penile prosthesis? Not always. Treatment depends on the severity of the curvature and the presence of erectile dysfunction.
Below, learn about the main treatment options for penile curvature and when a prosthesis may be indicated.
Medication Treatments or Therapies for Peyronie’s
Therapies such as penile pumps, physiotherapy, and medications for Peyronie’s Disease are indicated in the initial phase. See how they work:
- Colchicine combined with Vitamin E: studies suggest that Colchicine and Vitamin E may contribute to reducing inflammation, although efficacy varies among patients. Treatment should always be guided by a doctor.
- Collagenase injection: a procedure that can be applied to fibrous plaques with the aim of contributing to tissue expansion. It is not indicated for curvatures close to the urethra. The indication must be individually evaluated by the doctor.
- Anti-inflammatory creams: creams such as verapamil, betamethasone, and dexamethasone may be prescribed for application to the affected area. Use should always be supervised by a healthcare professional.
- Penile pump and physiotherapy: therapies aimed at contributing to the gradual lengthening of tissues. Their use should always be supervised by a healthcare professional.
When is a penile prosthesis recommended? Does every Peyronie case need a penile prosthesis?
A penile prosthesis for Peyronie’s Disease may be indicated in the following cases:
- Peyronie’s associated with erectile dysfunction: In more severe cases, the implant can contribute to correcting the curvature and restoring rigidity, potentially facilitating sexual function. Results vary depending on individual clinical evaluation.
- Pronounced curvatures: Deformities with an angle greater than 30° may be associated with difficulties in sexual function, and the prosthesis can be considered as a therapeutic option to help align the penis. The indication must be individually evaluated by the doctor.
- Failure of other treatments: When medications and therapies do not produce the expected results, the implant can be considered as a therapeutic alternative that aims to contribute to the restoration of anatomy and function. Efficacy and results should be discussed individually with the doctor.
How can a penile prosthesis help patients with Peyronie’s?
How is Peyronie’s Disease diagnosed?
Check out the main steps:
- Evaluation with a urologist: analysis of symptoms, patient history, degree of curvature and impact on erectile function.
- Clinical and imaging exams: palpation to identify areas of fibrosis, medication-induced erection and Doppler ultrasound to assess the structure of the penis.
- Definition of treatment: based on the results, the doctor establishes the most appropriate approach to treatment for penile curvature.
Consult a specialist
Peyronie’s Disease can compromise sexual function. There are several treatment options available that can contribute to improving the clinical situation, although results vary depending on the individual evaluation of each patient.
If you notice any changes in the anatomy of the penis, seek medical evaluation.
For specialized guidance, you can schedule a consultation with a urologist specializing in the treatment of penile curvature.
