Weill Cornell Medicine Urology
Weill Cornell Medicine Urology
Peyronie's Disease - Symptoms & Evaluation

Peyronie's Disease - Symptoms & Evaluation

Men with Peyronie's disease typically present to a physician in a number of ways, including painful erections, penile curvature or erectile dysfunction (ED).

The degree of these symptoms can vary significantly between patients and even among the same patient over time. It is not uncommon for patients to delay evaluation and treatment for up to one year. This can be due to a high degree of patient embarrassment and social stigma. It is also very common for males with Peyronie's disease to experience a loss of sexual self-confidence, attractiveness, and psychological distress.

Peyronie's disease can be classified into two phases: the acute (early, active) phase and the chronic (late, stable) phase. The acute phase can last up to 18 months, but is often much shorter. It is characterized by an evolving change in plaque consistency and penile deformity. The chronic phase immediately follows the acute phase and is characterized by resolution of pain and curvature stabilization.

It is estimated that approximately 12% of men who have Peyronie's disease will have improvement or complete correction of their penile curvature within the first 12 months of their condition. Thus, as the plaque in Peyronie's disease may shrink or disappear without treatment, medical experts suggest waiting a full year before attempting to correct it surgically. It is during the acute phase that patients often seek counseling and treatment, although no treatment has been proven to be of significant benefit during this period.

When evaluating a patient with Peyronie's disease it is important to examine the penis in its entirety. Feeling for the location, size, and consistency of the plaque (or plaques) is of utmost importance. If possible, examining the penis in the erect state is ideal because it affords the ability to measure the angle of curvature, location of maximal curvature, and presence of any indentation deformities (known as an hourglass deformity).

While some men may improve their curvature spontaneously, many men will progress over the first 12 months. Some men may have a persistent and complete inability to achieve penetration because of either the magnitude of the penile curvature or erectile dysfunction (ED). Treatment options largely depend on the severity of penile curvature and erectile dysfunction. All patients considered candidates for surgical correction should undergo penile vascular evaluation. Doing this allows the clinician to predict which patients may have worsening of their erectile function following penile reconstruction. In part, the operative intervention that is selected for the individual patient is based upon their preoperative erectile function.

Find a Physician FIND A PHYSICIAN

Physicians & Faculty

Dr. Peter N. Schlegel, MD, FACS | Cornell Urology

Peter N. Schlegel

M.D., F.A.C.S.

212.746.5491
212.746.5491
Aetna-Weill Cornell POS, Medicaid, Medicare, Rockefeller University-CoreSource
The LeFrak Center for Robotic Surgery
Dr. Marc Goldstein, M.D., F.A.C.S. | Weill Cornell Medicine

Marc Goldstein

M.D., F.A.C.S.

212.746.5470
212.746.5470
Aetna-Weill Cornell POS, Medicaid, Medicare, Rockefeller University-CoreSource
Brady Urologic Health Center
Dr.  Darius Paduch, M.D., Ph.D.

Darius A. Paduch

M.D., Ph.D.

212.746.5309
212.746.5309
AETNA-HMO, AETNA-PPO, Aetna-Weill Cornell POS, EBCBS PPO/EPO, Medicaid, Rockefeller University-CoreSource
The LeFrak Center for Robotic Surgery
Dr. James A. Kashanian, M.D.

James A. Kashanian

M.D.

212.746.5309
212.746.5309
AETNA [Medicare], AETNA-HMO, AETNA-PPO, Aetna-Weill Cornell POS, Affinity Access, Affinity Essential, Affinity Health Plan, Blue Priority Network, CIGNA, EBCBS HMO, EBCBS Mediblue, EBCBS Pathway X, EBCBS Pathway X Enhanced, EBCBS PPO/EPO, Emblem Select Care, Empire BCBS HealthPlus, Empire BCBS HealthPlus (CHP), Fidelis Care, GHI, Health First, Health Insurance Plan of NY (HIP), Health Insurance Plan of NY (HIP) [Medicaid], Health Insurance Plan of NY (HIP) [Medicare], Medicaid, Medicare, Oxford Freedom, Oxford Health Plans [Liberty], Oxford Health Plans [Medicare], Oxford Health Plans [Metro/Core/Charter], Rockefeller University-CoreSource, UHC Community Plan - Essential Plan, UHC Community Plan - Medicaid Plan, UHC Compass, UHC Compass-HMO, UHC Medicare, United Empire Plan, United Healthcare Commercial, VNSNY CHOICE Medicare, VNSNY CHOICE SelectHealth
The LeFrak Center for Robotic Surgery

© 2016 Weill Cornell Medicine All rights reserved.