Peyronie's Disease: What a Persistent Bend Means and What to Do
A bend or lump in the penis that appears out of nowhere is scary and confusing. That’s often Peyronie’s disease — a build-up of scar tissue (plaque) inside the penis that can cause pain, curvature, and trouble with sex. Many men wait before getting help because it feels embarrassing, but early action makes a real difference.
How to spot it and when to see a doctor
Look for these clear signs: a hard lump under the skin, new curve or indentation during erection, pain (usually in the early phase), and shortening or narrowing of the shaft. Erections may become less rigid. If any of this starts to affect sex or causes worry, book a urology appointment. Practical tip: take photos of an erection in different angles to show your doctor — it helps track change and plan treatment.
Doctors usually examine you and may use a penile ultrasound to locate and measure the plaque and to check blood flow. They will ask when symptoms started — acute (first 6–12 months) is often painful and changing, while the chronic phase is more stable. That timing matters because some treatments are for the active phase and others for the stable phase.
Treatment options that actually matter
There’s no one-size-fits-all fix. Choices depend on pain, curvature degree, erectile function, and how much it affects your sex life. Here are common, practical options:
- Collagenase injections (often called Xiaflex): given into the plaque by a specialist. It can reduce curvature in many men and is a non-surgical option for certain cases. Discuss risks and realistic expectations with your doctor.
- Intralesional injections like verapamil or interferon: used by some urologists, with mixed but useful results for specific patients.
- Traction and vacuum devices: these stretch the penis over weeks to months. They take patience but help reduce curvature and length loss for some men, especially when used consistently.
- Surgery: reserved for stable, severe cases where curvature prevents intercourse. Options include plication (shortening the long side), grafting (replacing the scar), or penile implant for men with bad erections. Surgery works well but can shorten the penis and has other risks — discuss trade-offs clearly.
- Oral treatments and topical creams: most have limited evidence. Don’t expect dramatic results, and avoid unproven “miracle” products sold online.
Emotional and sexual support matters. Peyronie’s can hit confidence and relationships. Talk to your partner, consider counseling, and ask your urologist about sexual aids or referrals to a sex therapist.
Quick practical checklist: document changes with photos, note pain and erection quality, get a specialist opinion before buying treatments online, and ask about non-surgical options first if you’re in the active phase. If curvature prevents sex or causes distress, a urologist can guide you to the safest, most effective choice for your situation.
