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Penile Curvature / Peyronie's Disease

Diagnosis:

Penis deviation upon erection associated with firm plaque 

 

Management prior to referral: 

  • There is little value in imaging tests
  • Treat ED that may be associated.
  • There is no effective medical/drug therapy for Peyronies
  • Ask patient to bring a photo of erect penis on an electronic device to appointment

 

Referral:

Surgery is usually reserved for those in whom intercourse is impossible as penile shortening and sensation loss typically results. 

Consider referring men with associated ED and who seek another discussion before accepting the implications of the disease  

 

Reg Flags: 

Exclude penile cancer

Contributors

Mr Christopher Blake, Consultant Urologist, RCHT

Dr Stephanie Jackson, GP Lead Urology

 

Reviewed: July 2018