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Peyronie's Disease Treatment

Non-surgical treatment options for penile curvature and plaque, phase-dependent and evidence-based. Not every patient needs surgery — and not every patient can avoid it.

Fibrous plaque, curvature, and often erectile dysfunction

Peyronie's disease is characterized by fibrous plaque formation within the tunica albuginea, producing penile curvature, deformity, pain, and — in many patients — erectile dysfunction. Surgical correction has historically been the definitive treatment, but the range of non-surgical options has expanded significantly in the past decade. For many patients they are the appropriate first line.

Treatment is phase-dependent

6–18 months

6–18 months

Pain, active plaque formation, evolving curvature. Interventions that make sense here are oral therapy, intralesional injection (interferon), and regenerative modalities aimed at slowing progression and modulating the inflammatory phase.

Pain, active plaque formation, evolving curvature. Interventions that make sense here are oral therapy, intralesional injection (interferon), and regenerative modalities aimed at slowing progression and modulating the inflammatory phase.

Stable curvature

Stable curvature

Stable curvature and plaque without pain. FDA-approved Xiaflex (collagenase clostridium histolyticum) is indicated for stable-phase curvature between 30° and 90°. Traction therapy has evidence, especially in combination.

Stable curvature and plaque without pain. FDA-approved Xiaflex (collagenase clostridium histolyticum) is indicated for stable-phase curvature between 30° and 90°. Traction therapy has evidence, especially in combination.

Oral, intralesional, traction, and regenerative — matched to phase

Oral therapy (pentoxifylline, L-carnitine, vitamin E, CoQ10) has modest evidence in the acute phase, best as adjunctive. Intralesional Xiaflex is the only FDA-approved therapy — indicated for stable curvature 30°–90°. Interferon alfa-2b and verapamil are off-label alternatives. Penile traction has evidence when used consistently over 3–6 months. Regenerative modalities (PRP, shockwave, stem cells) are adjunctive, not definitive.

Address curvature and erectile function together

A significant proportion of Peyronie's patients have concurrent erectile dysfunction. Treatment planning should address both simultaneously. PDE5 inhibitors, low-intensity shockwave therapy, and regenerative modalities are all part of the concurrent-ED toolkit alongside phase-appropriate curvature management.

Treated by the physicians who defined the field

Dr. Luis Casavantes

Dr. Luis Casavantes

Nonsurgical Phalloplasty Specialist · 20+ years

Nonsurgical Phalloplasty Specialist · 20+ years

Co-author of the peer-reviewed literature on PMMA-based penile girth enhancement (Journal of Sexual Medicine, 2016) and author of "Girth Matters: A Comprehensive Guide to Nonsurgical Male Enhancement" (2022). Performing this procedure since the early 2000s.

Co-author of the peer-reviewed literature on PMMA-based penile girth enhancement (Journal of Sexual Medicine, 2016) and author of "Girth Matters: A Comprehensive Guide to Nonsurgical Male Enhancement" (2022). Performing this procedure since the early 2000s.

Dr. Palmira Morales

Dr. Palmira Morales

Aesthetic Medicine · Clinical Co-Author

Aesthetic Medicine · Clinical Co-Author

Co-author of the 2016 Journal of Sexual Medicine publication on PMMA soft-tissue fillers. Specializes in patient selection, anatomical assessment, and the psychological screening that underpins every consultation at Avanti Derma.

Co-author of the 2016 Journal of Sexual Medicine publication on PMMA soft-tissue fillers. Specializes in patient selection, anatomical assessment, and the psychological screening that underpins every consultation at Avanti Derma.

Real patient experiences

I am extremely satisfied with the care I received here. The results are phenomenal and the value I receive at this location is very competitive. 10/10.

Manuel Martinez

Their experience is excellent, developed over a long time helping many. In the rare case of needing post-procedure guidance, they provided advice and counseling.

David Reynolds

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Nonsurgical Phalloplasty

Frequently Asked Questions

Do I need surgery for Peyronie's?

What is Xiaflex?

Does traction therapy actually work?

Can I be treated in the acute phase?

Get a phase-appropriate plan

Peyronie's treatment starts with an accurate assessment of your phase and severity. Book a consultation for a proper clinical evaluation before any treatment is recommended.