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Peyronies Disease
Peyronies Disease has 2 phases: (Please see additional information under assessment)
Indications for referral:
Please note pre-referral criteria are applicable in this referral and Pre-Choice Triage is in place.
The first acute phase is when the disease is active and the scar tissue is being laid down. The patient will notice a progressive change in shape of his penis (for worse or better). About 10% of patients have pain (not pain on erections/intercourse which many get). This phase can last anywhere between 48 hours – 2 years (18 months typical).
If erections are altered treat as per any other case of Erectile Dysfunction:
The second chronic or burnt out phase follows. This is painless other than on erections or intercourse. The shape will be stable. The only indication to do anything, which is usually surgical on the NHS, is if the bend is so severe intercourse is impossible. Otherwise best left alone. Collagenase injections are available, patients will often have read about these. This is the only licensed injectable for Peyronies but due to very high cost currently the NHS does not fund. Collagenase injections are non-formulary for this indication.
Acute phase
If erections are altered treat as per any other case of Erectile Dysfunction.
Chronic phase
The only indication to do anything, which is usually surgical on the NHS, is if the bend is so severe intercourse is impossible. Otherwise best left alone.
Most men just require diagnosis and reassurance.
Please include the following information within the referral or it may be returned for additional information via Pre-choice Triage.
e-Referral Service Selection
BAUS penile straightening leaflet
This guideline has been signed off on behalf of NHS Devon.
Publication date: June 2018
Updated: May 2022