Treatment
Non-surgical vs surgical
Most Peyronie's treatment plans start with non-surgical care. Surgery enters the conversation later, for specific situations.
These are not competing categories; they are sequential ones. Non-surgical care is usually the first conversation; surgery is reserved for chronic, stable disease where conservative options have been considered or ruled insufficient.
The right path depends on phase, severity, function, and goals. The wrong question is which is better in general; the right question is which fits this person, at this point, with this goal.
Non-surgical care
- Typically the first stage of treatment for almost everyone.
- Includes traction, vacuum therapy, injections, and supportive medications.
- Patient-led at home (devices) or clinician-led in office (injections).
- Best fit when disease is active, stabilising, or recently stabilised.
- Reversible: the body remains in its current configuration after stopping.
- Time horizon is months, with outcomes that vary by individual.
Surgical care
- Discussed once the disease is chronic and stable.
- Plication, grafting, or prosthesis depending on deformity and ED.
- Most reliable when significant deformity disrupts function.
- Permanent: the result of surgery is the new baseline.
- Recovery is measured in weeks, with longer functional adjustment.
- Surgeon experience meaningfully affects outcomes.
Most patients pass through both worlds: first conservative, then surgical if needed. Skipping ahead rarely helps; skipping the conservative conversation can close off useful information.
Locate yourself on the path: phase first, severity and function second, goals third. The right next step usually follows.
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