In very mild cases, especially if there is no interference to sexual intercourse or erection issues, there may not be a need for any treatment. A patient may be advised to observe the bending of the penis over 12 months. Sometimes, over the course of 12 months, the curvature may become better or resolve completely
In others especially if the bending is moderate to severe or if it causes interference to sexual intercourse, then treatment can be considered.
1) non-Surgical therapy
Other non-surgical therapy includes injection of steroids into the scar tissue or injection of toxin similar to that used in botox and enzyme that dissolves collagen. However, there is a small risk of bleeding into the penis and fracturing of the penis.
2) Surgical therapy
Surgical options include removing the scar tissue or plication of the penis which involves stitching up the opposite side of where the curvature is. However with plication of the penis, the side where the stiches are made, the penis will usually be shortened as a result.
With surgical removal of the scar tissue, the risk of damage to the nerves of the penis (which can cause numbness to the head of the penis) can occur or can result in erectile dysfunction
3) Electro-shockwave therapy
Electro-shockwave therapy, ESWT, can be a painless non-surgical option for the treatment of Peyronie’s Disease.
The theory behind the treatment is that the pulses generated by the machine can help to break up the scar tissue thus improving the curvature of the penis
With all modes of treatment, even if the treatment is successful, the curvature of the penis may recur.
