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A urologist may recommend surgery to remove plaque

or help straighten the penis during an erection. Medical

experts recommend surgery for long-term cases when

symptoms have not improved

the curve or bend in the penis does not allow the

man to have sexual intercourse

Some surgical methods can cause shortening of the

penis. Medical experts suggest waiting 1 year or more

from the onset of symptoms and 3 months witout any

evolutivity before having surgery because the course of

Peyronie’s disease is different in each man.

A urologist may recommend the following surgeries:


These procedures involve

the replacement or expansion of scarred tunica

albuginea with grafts of healthy tissue from another

site. More recently, surgeons have been using grafts to

expand the contracted scars (or plaque) without

excising them. Though some calcified plaques still

require removal, this non-excisional approach seems

less disturbing to erectile function, and less likely to

cause postoperative impotence. A urologist will cut or

remove the plaque and attach a patch of a vein, or

biomaterial. This procedure may straighten the penis

and restore some lost length from Peyronie’s disease.

However, some men may experience numbness of the

penis and ED after the procedure.


This operation, or its various modifications,

corrects bending by plicating the convex or outer side of

the bend. Counteracting the relative shortage of tunica

albuginea on the concave side straightens the penis,

though length is reduced slightly as a consequence. Still,

this procedure is less likely to cause numbness and

erectile dysfunction than tissue grafting, and remains the

first choice for moderate bends without associated

diameter reduction.

Penile implantation.

A urologist implants a device into

the penis that can cause an erection and help straighten

it during an erection. Penile implants may be considered

if a man has both Peyronie’s disease and ED. In some

cases, an implant alone will straighten the penis

adequately. If the implant alone does not straighten the

penis, a urologist may combine implantation with one of

the other two surgeries. Once a man has an implant, he

must use the device to have an erection.