Peyronie disease is more common than most men realize, affecting an estimated 5 to 10 percent of adult men. If you have noticed a curve, indentation, shortening, or pain with erections that was not there before, you may be dealing with Peyronie disease. It is not something you caused, it is not something you should ignore, and it is treatable.
At Urology Associates of Green Bay, we offer the full range of Peyronie disease treatment, from Xiaflex injections to surgical correction to penile prosthesis placement for men with both curvature and erectile dysfunction. Your care is overseen by board certified urologists with experience in male sexual health and reconstructive surgery.
Peyronie disease is caused by the formation of fibrous scar tissue (plaque) inside the tunica albuginea, the tough sheath surrounding the erectile bodies of the penis. This plaque prevents normal expansion during an erection, pulling the penis toward the side of the scar and creating curvature, indentation, or an hourglass deformity. It can also cause penile shortening and pain, particularly during the early phase of the disease.
The disease typically progresses through two phases. The acute phase, lasting roughly 6 to 18 months, involves active inflammation and potential worsening of curvature. The chronic or stable phase occurs once the plaque has matured and the curvature has stopped changing. Treatment decisions depend on which phase you are in, the degree of curvature, the impact on sexual function, and your goals.
Surgery is considered for men in the stable phase whose curvature is severe, who have not responded to Xiaflex, or who have both Peyronie disease and erectile dysfunction. We offer several surgical approaches tailored to the individual situation.
Xiaflex Injection Therapy
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For men in the stable phase with moderate curvature (typically 30 degrees or more), Xiaflex (collagenase clostridium histolyticum) is an FDA approved injectable treatment that breaks down the collagen in the plaque. Treatment involves a series of injection cycles performed in our office, with each cycle consisting of two injections spaced a few days apart followed by a period of penile modeling exercises. Most men complete three to four cycles.
Xiaflex can produce meaningful improvement in curvature, though it does not eliminate the plaque entirely. The goal is to reduce curvature enough to restore comfortable, functional intercourse. Not every patient is a candidate, and we discuss realistic expectations before starting treatment.
Plication Procedures
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Plaque Incision or Excision with Grafting
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Penile Prosthesis with Straightening
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Get Answers
Peyronie disease can be frustrating and isolating, but it is common, it is not your fault, and effective treatment is available. A confidential evaluation is the first step. Call our De Pere office at (920) 433-9400 or our Marinette office at (715) 732-3420.
Urology Associates of Green Bay. Comprehensive Peyronie disease care, from Xiaflex to surgical correction.