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Peyronie's Disease

Comprehensive Urology

Urologists located in Beverly Grove, Los Angeles, CA

Peyronie’s disease is more common than you may realize, affecting about 10% of adult men. Being common, however, doesn’t offer much comfort when you have painful erections and a condition that affects your sex life. Kiarash Michel, MD, and his expert urology team at Comprehensive Urology in the Beverly Grove neighborhood of Los Angeles, California, understand the problem and why most men don’t like to talk about it. They offer a variety of therapies that effectively eliminate the problem and restore your sex life. To learn more about your treatment options, call the office, or book an appointment online today.

Peyronie's Disease Q & A

What is Peyronie’s disease?

Peyronie’s disease occurs when scar tissue or plaque develops under the skin of your penis. The scar causes a curve in your penis that’s most noticeable when you have an erection.

During an erection, the scar tissue prevents that area of your penis from enlarging as it should. As a result, your erection bends around the scar tissue, which creates the curve. In some cases, scar tissue goes around your penis, causing an hourglass shape when you have an erection. To get the best outcomes, it is best to be diagnosed and treated early in the disease process. 

What causes Peyronie’s disease?

Inflammation is responsible for the scarring in your penis. The inflammation most often develops due to damage that occurs during vigorous sex or sports. However, the inflammation can also result from an underlying health condition.

What symptoms develop due to Peyronie’s disease?

In addition to the visible curve, most men experience pain, especially when they have an erection and during intercourse. You may also develop hard lumps due to the scar tissue. For many men, Peyronie’s disease causes erectile dysfunction.

What are the two stages of Peyronie’s disease?

Peyronie’s disease goes through two stages. The early or acute stage can last from 6-18 months. During this time, scar tissue continues to develop, the curvature gets worse, and you probably feel pain during an erection.

During the chronic phase, the scar stops growing, and the penis won’t bend more than it already does. Your pain should diminish by the time you reach this stage.

How do urologists treat Peyronie’s disease?

If your scarring and penile curvature are minimal, and it doesn’t stop you from having sex, you may not need treatment. When you do need medical care, the Comprehensive Urology team offer a range of treatments, including:


Your provider may recommend medication such as Xiaflex® to reduce scarring and inflammation.

Shock wave therapy

This treatment uses low-intensity shock waves to break up and reduce scar tissue as well as improve blood flow. As a result, your pain improves, and the curvature decreases.


After you reach the second stage, patients are commonly treated with surgery. However at Dr. Michel and his team of experts at Comprehensive Urology have a multi-modal approach for treating Peyronie’s disease in this second stage and are often able to effectively treat patients and avoid surgery altogether.  For the few patients that will require surgery,  the scar tissue is either removed surgically, or the penis along the opposite side to the curvature is tucked to straighten the penis. If a patient has erectile dysfunction along with Peyronie’s disease, then consideration to placing a penile implant is given. 

If you have Peyronie’s disease, talk with the team at Comprehensive Urology. Call or schedule an appointment online today.