Surgery is the only treatment guaranteed to have a beneficial effect on Peyronie’s disease. Surgery is only be offered to patients once the changes caused by the condition have settled down, which normally takes 12-18 months.
Surgery is not without risks and can include shortening of the penis and there is a chance the distortion may return. If your foreskin is already tight, you may require a circumcision as it may get even tighter after the operation. Some people report of feeling knots or stitches under the skin. You should carefully consider all these issues before consenting to surgery.
Possible surgery options include:
- Extracorporeal shock wave therapy – vibrations from sound waves are used to break down the tough fibrous plaques. Shock waves are delivered by a device outside the body.
- Nesbitt tuck procedure – removing some of the tissue from the side of the penis opposite the plaque. This straightens but shortens the penis.
- Cutting out plaque – sometimes combined with the insertion of a plastic rod (prosthesis) to counteract any shortening.
- Laser surgery – a carbon dioxide laser is used to thin the plaque.
- Plication – folding the normal tissue on itself rather than removing it completely.
If you have a mild version of the disease which does not cause much pain, if you are not sexually active, or have few or no difficulties with sexual intercourse, you may decide that you do not want treatment. About 13% of patients recover from their symptoms without treatment.