Peyronie’s surgery in London

Peyronie’s disease is a condition in which scar tissue can cause a palpable lump, significant curvature, loss of girth or length or create a waist on the penis. It can cause pain or make sex very difficult

Treatment:

Medications: Oral medications such as pentoxifylline, colchicine, and vitamin E may be prescribed to help reduce plaque formation and alleviate symptoms. However, their effectiveness varies, and there is little evidence based medicine to support their use.

Injection Therapy: Injections of medications such as verapamil or collagenase directly into the plaque may help soften the scar tissue and reduce curvature. Collagenase (Ziapex) has been discontinued within the UK but can be sourced at cost..

Penile Traction Devices: These devices are worn on the penis to apply gentle stretching forces over time.

Shockwave Therapy: Extracorporeal shockwave therapy (ESWT) involves using low-intensity shockwaves with the aim of causing mechanical stress , thereby inducing new blood vessel formation and thus improving blood flow. The hope is to help with remodelling the plaque and improve blood flow in the penis. There are limited good randomised controlled trials and those that are available show positive effects with pain but limited curvature improvements.

Surgery: Surgical intervention may be considered in severe where penetration becomes impossible. Surgical options include plaque incision or excision (Lue procedure), penile plication (shortening the longer side of the penis to correct curvature), or penile implants.

Counselling: Counselling may be beneficial, particularly for men experiencing emotional distress or relationship issues related to Peyronie’s disease.