Peyronie’s disease · Alpharetta / Roswell office
A curve or pain with erections is something we can talk about privately.
Peyronie’s disease is common, and a visit with our urologists at the Alpharetta / Roswell office is discreet and unhurried.
What is Peyronie’s disease?
Peyronie’s disease is a curve in the penis that comes from a firm patch of scar tissue, called a plaque, inside the shaft. The exact reason is often unclear. Some men remember an injury; many do not. The curve may be new, or it may have been there for a while and has just begun to interfere with erections or comfort.
When is treatment discussed?
We talk about treatment when the curve is severe, or when sex is painful for you or a partner, or when the change is simply getting in the way of a life you want back. A visit is still useful if you are not sure how serious it is. The history and a private exam help our urologists judge that with you, without rush.
What treatments are there?
Medicines can be part of the plan for some men. Xiaflex is an enzyme injected into the scar tissue to break it down; a cycle is usually two injections in one week, followed by gentle stretching. Penile implant surgery is an outpatient operation that can straighten the penis and also treat erectile dysfunction. Every treatment has risks and benefits, and our urologists go over them with you before you decide.
Why does overall health matter in Peyronie’s care?
Blood pressure, diabetes, cholesterol and low testosterone can all affect erections, so we check for them as part of your care. If erectile dysfunction is also in the picture, we talk through that at the same visit. See erectile dysfunction care.
Does the stage of Peyronie’s matter?
Yes. In the active phase, scar tissue is still forming and the curve or pain may change, so treatment aims to keep it from getting worse. Once the curve has stopped changing, it is called the chronic phase, and treatment shifts toward straightening the penis and treating any erection problems.
What happens at your visit?
The visit is private and unhurried. Our urologists ask when you first noticed the curve, whether it is still changing, whether there is pain, and how erections have been. A brief exam follows. You can bring a partner or come alone, and you can ask any question you have.
Are there other treatments?
Advanced Urology also offers traction devices that gently stretch the penis straight, vacuum devices, and surgery that either shortens the side opposite the plaque or removes the plaque and replaces it with a graft. Each has trade-offs, such as a change in length, that our urologists explain plainly.
Advanced Urology, Alpharetta / Roswell Clinic & Surgery Center11660 Alpharetta Hwy Ste 700Roswell, GA 30076
678-344-8900
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Related video
Advanced Urology's discussion of Peyronie's disease, and Dr. Herman Bagga on erectile dysfunction:
For education, not medical advice. Every treatment has risks and benefits. Emergency? Call 911 or go to an emergency room.
Whenever you’re ready, our Alpharetta / Roswell team would be glad to hear from you.