Restoring your confidence and function.
Struggling With Penile Curvature or Deformities? You Are Not Alone
Peyronie’s disease and other penile deformities, such as congenital curvature or trauma-induced injuries, can cause physical discomfort, sexual dysfunction, and emotional distress. Conditions like penile curvature, indentation (hourglass deformity), or even penile fractures often lead to pain during erections, difficulties with intercourse, and a significant loss of confidence with implications on your mental health.
If you’re experiencing these symptoms, you might feel anxious, frustrated, or even embarrassed about seeking help. However, these conditions are more common than you may realise, and there are effective treatments available to restore both function and confidence.
Understanding The Causes of Penile Deformities And Peyronie’s Disease
Peyronie’s disease, a condition marked by the formation of fibrous scar tissue inside the penis, can cause abnormal curvature, painful erections, and penile shortening. Trauma or injury to the penis can also lead to similar symptoms, including penile fracture or congenital curvature, where men are born with a bent penis.
Dr. Lee takes a compassionate and comprehensive approach to diagnose your specific condition. During your consultation, he will assess your medical history, perform a physical examination, and may recommend imaging tests like ultrasound to evaluate the severity of your condition. By understanding the underlying causes, whether it’s Peyronie’s disease, congenital curvature, or trauma, we can create a personalised treatment plan that addresses your unique situation.
Conditions We Treat
Penile
Curvature
Caused by Peyronie’s disease or congenital issues.
Penile Indentation
“Hourglass” deformity, where the penis narrows at a certain point.
Congenital Penile Curvature
Curvature present from birth.
Penile Fracture or Trauma
Injuries causing deformity or functional problems.
Advanced Treatments to Correct Penile Curvature and Deformities
Once the cause of your penile deformity has been diagnosed, Dr. Lee will recommend a treatment plan tailored to your needs, aiming to reduce pain, correct curvature, and restore sexual function.
Penile Prosthesis/Implant Surgery:
In severe cases where other treatments are ineffective, implant surgery may be an option to restore rigidity and function.
Restorex
A next-generation traction device designed to gradually straighten penile curvature by applying gentle, controlled tension over time.
Vacuum Erection Device (VED):
Used to improve blood flow, this device can aid in straightening the penis and improving erectile function.
Perovial® Injections:
A hyaluronic acid–based injectable used in active Peyronie’s disease to help reduce inflammation, stabilise scar tissue, and potentially reduce severity of disease and progression.
Intralesional Injections:
Medications like verapamil or collagenase can be injected directly into the scar tissue to help break it down and reduce curvature.
Penile Plication (Nesbit’s, Yachia procedures):
Surgical procedures that corrects the curvature by placing sutures on the opposite side to straighten the penis with fewer potential complications.
Plaque Incision & Grafting (Lue Procedure):
For more severe cases of Peyronie’s disease, this surgery involves making an incision in the plaque and placing a graft to restore normal penile shape. Dr. Lee is one of the few surgeons in the UK with expertise in this complex procedure.
Your Path to a Healthier, More Confident You
STEP 1
Schedule a Consultation
Book an appointment in a confidential and supportive environment.
STEP 2
Personalised Treatment Plan
Our team creates personalised plans to meet your unique health goals.
STEP 3
Regain Your
Confidence
Improve your health and well-being with expert guidance.
FAQs
What is Peyronie’s disease?
Peyronie’s disease is a medical condition where scar tissue (called plaque) forms inside the penis, causing it to curve or bend during erections. While a slight curve in the penis may be normal, Peyronie’s disease causes painful or severe curvature that can interfere with sexual function and confidence.
Key features of Peyronie’s disease:
- Bending or curving of the penis during erection
- Lumps or hardened areas (plaque) felt under the skin
- Erectile dysfunction or difficulty maintaining an erection
- Penile shortening or narrowing
- Painful erections (often in early stages)
The condition can develop suddenly or gradually and typically progresses through two phases:
- Acute phase (first 6–18 months): Pain and changes in shape or angle
- Chronic phase: Curvature stabilises, pain often decreases, but deformity may remain
Causes may include:
- Microtrauma or injury to the penis during sex or physical activity
- Genetic or connective tissue conditions
- Inflammatory response leading to scar formation
Treatment options:
- Observation in mild or stable cases
- Oral medications or injection (intralesional) therapy to reduce plaque
- Penile traction therapy
- Surgery, such as plaque incision and grafting or penile implant for more advanced cases
At my clinic, we specialise in personalised care for Peyronie’s disease – from conservative therapies to advanced surgical correction – with a focus on restoring function, comfort, and confidence.
Can Peyronie’s disease go away on its own?
In some cases, Peyronie’s disease, a condition where scar tissue causes curvature of the penis, may stabilise or improve without treatment. However, it rarely goes away completely on its own.
Here’s what typically happens:
- Early (active) phase: This stage may last up to 6-18 months. You may notice increasing curvature, pain during erections, or changes in firmness.
- Stable (chronic) phase: Scar tissue (plaque) becomes stable. Pain usually improves, but curvature or shortening often remains.
Studies show that:
- Only about 10–15% of men experience spontaneous improvement in curvature
- Up to 50% may see the condition worsen if left untreated
- Pain often resolves naturally, but deformity or erectile dysfunction usually persists
When to seek treatment:
- As soon as you develop symptoms because there are strategies to reduce the severity of ultimate condition
- If the curvature is progressing or severe
- If sexual activity is difficult or painful
- If you experience erectile dysfunction or distress about the appearance
Treatment options range from non-surgical therapy (e.g. traction therapy, injection treatment) to surgical correction in more advanced cases, including plaque incision and grafting or penile prosthesis in complex cases.
At my clinic, we offer individualised care for Peyronie’s disease, with both conservative and surgical options based on your goals and anatomy.
Is Peyronie’s disease painful?
Yes, Peyronie’s disease can cause pain, especially in its early stages. The pain is typically felt during erections but may also occur when the penis is flaccid.
Common characteristics of Peyronie’s-related pain:
- Dull or aching discomfort in the shaft or base of the penis
- Sharp or pulling sensation during an erection, especially when the curve is severe
- Pain may be worse during sexual activity or when the plaque is actively forming
- Over time, the pain often subsides as the condition moves into the stable phase
It’s important to note:
- Pain does not always correlate with the degree of curvature
- Some men experience curvature without any pain, and others have pain with minimal deformity
- Emotional distress and performance anxiety may intensify perceived discomfort
When to seek help:
- If the pain persists beyond a few months
- If erections become difficult, uncomfortable, or impossible
- If you notice a new curve, lump, or shortening of the penis
At my clinic, we offer complete assessment and treatment for Peyronie’s disease, including pain management with low-intensity shockwave therapy (LiSWT), traction therapy, and surgical options like plaque grafting or penile implants when needed.
Peyronie’s is treatable and you don’t need to live with the pain.
What are the best treatments for severe penile curvature?
For men with severe penile curvature, most commonly due to Peyronie’s disease, treatment is tailored to the degree of deformity, erectile function, and patient goals. In cases where the curvature is significant enough to interfere with sexual activity or cause psychological distress, surgical treatment is often the most effective and lasting solution.
Plaque incision and grafting is recommended for men with curvature greater than 60 degrees and preserved erectile function. This procedure involves releasing the scar tissue (plaque) and placing a graft to restore straightness while maintaining penile length. It requires specific expertise and is typically reserved for more complex cases.
Penile prosthesis implantation is the preferred option when severe curvature is accompanied by erectile dysfunction. A malleable or inflatable implant is inserted to restore rigidity, and the curvature is corrected either through manual straightening techniques or additional grafting during the same procedure.
Tunical plication procedures (such as the Nesbit technique) are an option for men with less severe curvature who have good erectile function. This involves shortening the longer side of the penis to achieve straightening. It is effective but may result in some loss of length although this can be minimised.
At my clinic, we offer the full range of surgical solutions for severe penile curvature, using a patient-centred approach and the latest techniques in andrological and reconstructive urology. Each treatment plan is designed to restore function, confidence, and quality of life.
What treatments are available for curvature of the penis (eg. Peyronie’s disease)?
Treatment for penile curvature, most commonly caused by Peyronie’s disease, depends on the severity of the curve, whether pain or erectile dysfunction is present, and how much it affects sexual activity and quality of life.
In the early (active) phase, where the curve is still developing and pain may be present, non-surgical options are often considered first:
Non-surgical treatments:
- Penile traction therapy: a mechanical device is used daily to stretch the penis and potentially reduce curvature over time
- Injection therapy: intralesional injections such as verapamil or collagenase clostridium histolyticum (where available) may help soften plaque and improve curvature
- Oral medications and supplements: some are prescribed in early stages, but evidence for their effectiveness is limited
- Low-intensity shockwave therapy (LiSWT): may help relieve pain in the acute phase, though it does not correct curvature
In the stable (chronic) phase, when the curve has stopped progressing, surgery is the most effective option for men with significant deformity or sexual difficulty:
Surgical treatments:
- Plication surgery: suitable for mild to moderate curvature and good erectile function; the longer side of the penis is shortened to achieve straightening
- Plaque incision and grafting: for more severe curvature; the plaque is cut and a graft is used to preserve penile length
- Penile prosthesis implantation: recommended when Peyronie’s disease is accompanied by erectile dysfunction; the implant restores rigidity, and the curve is corrected during the procedure
At my clinic, we provide a comprehensive assessment and offer both conservative and surgical treatments, based on your symptoms, anatomy, and goals. Early diagnosis improves the range of treatment options available and leads to better outcomes.
Correct Penile Deformities and Restore Your Sexual Health – Book a Consultation Today
You don’t have to live with the discomfort and challenges of Peyronie’s disease or penile deformities. Dr. Lee’s expertise and advanced treatment options can help restore your confidence, sexual function, and quality of life.
