Peyronie’s disease is a condition that follows a course with curvature, deformity and sometimes pain caused by fibrotic plaques that develop inside the penis. In advanced stages, it can make intercourse difficult or impossible. Surgical treatment is one of the most effective methods aimed at correcting this curvature in a permanent and functional way.
Purpose
- To correct penile curvature
- To make intercourse possible and comfortable
- To reduce pain due to the curvature
- To ensure functional and aesthetic integrity
- To increase the patient’s self-confidence and quality of life
When Is Surgery Needed?
- If the curvature is severe
- If intercourse is impossible or difficult
- If the disease has entered a stable period (usually after 6
to 12 months) - If medication or other treatments have been insufficient
Surgical Methods
1. Plication (shortening techniques)
- The tissues on the side opposite the curvature are shortened
- It is a simpler and effective method
- It is usually preferred in mild
to moderate curvatures - The recovery process is relatively fast
2. Plaque excision and grafting
- The plaque causing the curvature is removed
- The resulting gap is closed with a graft (patch)
- It is applied in more advanced and complex cases
- It provides the advantage of preserving penis length
Advantages
1. Significant correction of the curvature
- Sexual function can be regained
2. Psychological improvement
- Increased self-confidence
3. Personalized surgical planning
- The method is selected according to the degree of curvature
Possible Risks
- Temporary changes in sensitivity
- Slight change in length (especially with plication)
- Temporary effect on erectile function
- Recurrence of the curvature in rare cases
- The need for revision
The Postoperative Period
- Mild pain and swelling may occur in the first days
- A return to daily life is possible in a short time
- A certain period is waited before sexual activity
- The results become clear within a few weeks
Frequently Asked Questions
Is the curvature completely corrected?
In most patients, significant and satisfying correction is achieved.
Is there a change in penis size?
With the plication method, there may be slight shortening; with the grafting method, length is preserved as much as possible.
Is sexual function affected?
The aim is to preserve function. In most patients, sex life improves significantly.
Is the surgery a permanent solution?
It is usually permanent, but it can rarely develop again.
How long is the recovery time?
A return to daily life is usually achieved within a few weeks.
Clinical Summary
Peyronie’s disease surgery is one of the most effective treatment options, both aesthetically and functionally, in patients with severe penile curvature. With the correct technique and an experienced approach, patients can regain a comfortable and satisfying sex life.
