Peyronie's Disease: Curvature and Treatment Choices
About this video
Peyronie's disease can cause a curved, and sometimes painful, erection. Dr. Alex Vanni explains what causes the curve, the acute and chronic phases, collagenase (Xiaflex) injections, plication and grafting surgery, and when a penile implant is the best option, so you can weigh the trade-offs and choose the right treatment.
Key points
- Peyronie's disease affects about 11–13% of men
- It can cause curvature, an indentation, an hourglass narrowing, or shortening
- The acute phase lasts 6–18 months; surgery is considered once the curve has been stable for 3–6 months
- Xiaflex is up to 4 cycles (8 injections), with about a 30% average improvement in curvature
- Plication suits curves under 60–70°; grafting suits larger or complex curves
- A penile implant with straightening can treat curvature and erectile dysfunction together
Chapters
- Introduction
- What Peyronie's Disease Is
- How It Changes Over Time
- Choosing a Treatment
- Surgical Options
- Your Goals
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Talk with Dr. Vanni
Dr. Alex J. Vanni is a fellowship-trained reconstructive urologic surgeon at the Lahey Clinic in Burlington, Massachusetts, caring for patients from Boston and across New England.
New patients: (781) 744-8762 · Established patients with clinical questions: (781) 744-8420
This video is for general patient education and does not replace advice from your own doctor. Every patient is different; please talk with your care team about your situation. Watch on YouTube.