Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
MBBS, MS, FMAS, FISCP, DMAS
- 8 Yrs
- ASCRS Member
Urology · Men’s Health
Peyronie’s Disease Treatment in Hyderabad: Curvature Correction at Lux Hospitals
Peyronie’s disease is the formation of fibrous scar tissue inside the penis, producing a curve, an indentation or shortening, often with pain during erection.
Many men assume nothing can be done, or are too embarrassed to ask. Both assumptions are wrong: treatment is well established, and it works considerably better when started early in the disease. Our urologists at Lux Hospitals, HITEC CITY assess the curvature properly and treat it according to its stage.
- Completely Confidential
- Stage-Based Treatment
- Surgical Correction
What is Peyronie’s Disease?
Peyronie’s disease is a wound-healing disorder of the tunica albuginea, the tough fibrous sheath surrounding the erectile tissue of the penis. Fibrous plaque forms within that sheath. Because scar tissue does not stretch, the affected side fails to lengthen during erection while the opposite side does, and the penis bends toward the plaque.
The disease has two distinct phases, and this matters enormously for treatment. The acute or inflammatory phase lasts roughly six to eighteen months: the plaque is forming, the curvature is changing, and pain during erection is common. The chronic or stable phase follows, when the plaque has matured, pain has usually resolved and the curvature stops progressing.
Medical treatment works during the acute phase, when the scar is still remodelling. Surgery is only appropriate once the disease is stable, because operating on a curvature that is still changing risks a poor result. Establishing which phase you are in is therefore the first thing the consultation does.
Causes of Peyronie’s Disease
The prevailing explanation is abnormal healing after minor injury, in men predisposed to excessive scar formation.
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Microtrauma during intercourse
Repeated minor injury to the tunica albuginea, often unnoticed at the time. The most widely accepted trigger.
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Abnormal wound healing
Some men lay down excessive fibrous tissue in response to injury. This predisposition, rather than the injury itself, is what produces the disease.
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Genetic predisposition
Peyronie’s runs in families and is associated with Dupuytren’s contracture of the hand: the same abnormal fibrosis in a different site.
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Age
Most cases occur between forty and seventy. Tissue elasticity declines with age, making injury more likely and healing less complete.
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Diabetes
Impairs healing and is associated with both a higher incidence and more severe disease.
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Connective tissue disorders
Dupuytren’s contracture, plantar fascial fibrosis and similar conditions occur more often in men with Peyronie’s.
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Penile surgery or catheterisation
Prior prostate surgery or instrumentation is occasionally implicated as the initiating injury.
Peyronie’s disease is not caused by masturbation, by sexually transmitted infection, or by anything you did wrong. It is a healing disorder, and the predisposition to it is largely inherited.
Symptoms of Peyronie’s Disease
The symptoms differ substantially between the two phases, which is itself a useful diagnostic clue.
Acute phase symptoms
- Pain during erection, and sometimes when flaccid
- A curvature that is worsening month by month
- A palpable lump or hard band along the shaft
- Tenderness over the affected area
- Recent onset, usually within the past year
- Changing shape from one month to the next
Chronic phase symptoms
- A stable curve that has not changed for six months or more
- Pain resolved or much reduced
- A firm, well-defined plaque
- Indentation, narrowing or an hourglass deformity
- Loss of length
- Difficulty with or inability to have intercourse
Erectile dysfunction accompanies Peyronie’s disease in a substantial proportion of men, sometimes from the disease itself and sometimes from the anxiety that comes with it. It is assessed alongside, not separately.
How Peyronie’s Disease is Assessed
The assessment establishes the degree of curvature, the phase of the disease and whether erectile function is also affected.
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History and timeline
When it started, whether it is still changing, whether erection is painful, and whether intercourse is possible. This is what distinguishes acute from chronic.
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Examination of the plaque
Palpating the shaft for the plaque, recording its position, size and consistency, and measuring stretched penile length.
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Photographs of the erection
Photographs taken at home from several angles allow the curvature to be measured objectively. Simple, and more accurate than description alone.
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Penile Doppler ultrasound
Performed after an injection to produce an erection. It measures curvature precisely, maps the plaque and assesses blood flow.
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Assessing erectile function
A standard questionnaire and Doppler flow measurement, because coexisting erectile dysfunction changes which operation is appropriate.
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Determining the phase
Stability over six months with no pain defines the chronic phase, and that is the prerequisite for considering surgery.
Objective measurement matters. Men consistently over- or under-estimate their own curvature, and the treatment decision hinges on the actual angle rather than the perceived one.
Treatment Options
Treatment depends on the phase. Medical therapy in the acute phase, surgery only once the disease has stabilised.
Non-surgical
Acute phase and conservative treatment
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Observation
Appropriate where the curve is mild, intercourse is possible and there is no pain. A proportion of cases improve spontaneously.
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Oral medication
Pentoxifylline, vitamin E and colchicine have been used. The evidence is modest, and they are offered as an adjunct rather than a mainstay.
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Penile traction therapy
A device worn for several hours daily over months. It reduces curvature and helps preserve length, and works best in the acute phase.
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Vacuum device therapy
Regular stretching of the tissue with a vacuum pump, often combined with traction.
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Intralesional injections
Verapamil or interferon injected directly into the plaque over a course of sessions, to soften it and reduce curvature.
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Collagenase injections
An enzyme that breaks down the collagen of the plaque. The best-evidenced non-surgical treatment where available, given as a structured course with modelling.
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Shockwave therapy
Effective for the pain of the acute phase. It does not reliably reduce curvature, and is offered for symptom relief.
Surgical
Correction in the stable phase
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Plication (Nesbit and modifications)
The longer, unaffected side is shortened with sutures to straighten the penis. Simple, reliable and low-risk, but it costs some length.
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Plaque incision and grafting
The plaque is cut and the defect filled with a graft, lengthening the short side. Preserves length and suits severe curves, but carries a higher risk of erectile dysfunction.
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Penile implant
Where Peyronie’s coexists with significant erectile dysfunction, an implant corrects both at once, often with modelling to straighten during placement.
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Modelling over an implant
Manual straightening against an inflated prosthesis at the time of implant surgery, correcting residual curvature.
The choice between plication and grafting is a genuine trade-off: plication is safer but shortens, grafting preserves length but risks erectile function. Which matters more to you is part of the decision.
What Treatment Involves
Treatment follows the disease rather than a fixed schedule, and most men begin with non-surgical measures.
Stage-based programme, from medical therapy to surgery
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Confidential assessment
History, examination of the plaque, measurement of stretched length and review of photographs of the erect penis.
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Establishing the phase
Determining whether the curve is still changing and whether erection is painful. This decides whether surgery is even on the table.
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Doppler ultrasound
An erection induced by injection, allowing precise measurement of curvature and assessment of blood flow.
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Acute phase treatment
Traction therapy, oral medication and intralesional injections where indicated, aimed at limiting progression and reducing pain.
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Monitoring for stability
Review at three to six month intervals with repeat measurement. Six months without change defines stability.
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Surgical planning
Where curvature still prevents intercourse, the operation is chosen on the angle, the length available and erectile function, with the trade-offs explained fully.
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Corrective surgery
Plication, grafting or implant under general anaesthesia, generally requiring one night in hospital.
Operating during the acute phase is the classic mistake. A curvature that is still evolving will keep evolving after surgery, which is why waiting for stability is not delay but part of the treatment.
Why Choose Lux Hospitals for Peyronie’s Disease?
Peyronie’s is under-treated largely because men do not raise it. Here is why patients trust us with it:
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Confidential and unembarrassed
Private consultations with urologists who treat this routinely and will discuss it plainly.
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Treatment matched to the phase
Objective measurement of curvature and careful determination of stability before any surgery is considered.
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Comprehensive care
From the first consultation through to post-treatment follow-up, with one team throughout.
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Convenient location
Our hospital is in HITEC CITY, near IKEA: easily reachable from across Hyderabad.
Recovery & Aftercare
Conservative treatment is measured in months. After surgery, most men return to work within two weeks and to intercourse at six to eight.
- Acute phase: months 1–6
Traction and medical therapy, with pain typically settling over this period. Curvature is remeasured at each review.
- Post-surgery: week 1
Discharge after one night. Swelling and bruising are expected and considerable. Simple painkillers and a supportive dressing.
- Weeks 2–4
Swelling settles substantially. Most men return to desk work within two weeks. Wound review and suture check.
- Weeks 4–8
Intercourse resumes at six to eight weeks after clearance. Traction may be recommended to maintain length after grafting.
- Months 3–12
Final result becomes apparent. Any residual curve is reassessed, and sensation changes settle over this period.
Aftercare
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Use the traction device consistently
Traction only works with sustained daily use over months. Intermittent use does very little, and this is where most conservative treatment fails.
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Expect some shortening after plication
Straightening by shortening the longer side inevitably costs length. This is discussed and quantified beforehand rather than discovered afterwards.
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No sexual activity for six to eight weeks after surgery
The repair or graft needs time to consolidate. Early activity risks recurrence of the curve or graft failure.
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Control your blood sugar
Diabetes worsens both the fibrosis and the healing after surgery. Good control genuinely affects the outcome.
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Talk to your partner
Peyronie’s affects confidence and relationships more than most conditions of comparable severity, and it is far easier managed together.
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Report worsening curvature or new pain
A curve that starts changing again, or pain returning after it had settled, suggests reactivation and needs review.
Roughly one man in eight improves spontaneously and about half remain stable, but the remainder progress. Presenting early, while the plaque is still remodelling, is what makes non-surgical treatment worth trying.
When Should You See a Urologist?
Book a consultation if any of the following apply.
- A new or worsening curve in the penis.
- Pain during erection.
- A lump or hard band you can feel along the shaft.
- An indentation, narrowing or hourglass shape during erection.
- Difficulty with or inability to have intercourse because of the curve.
- Noticeable loss of length.
Cost of Peyronie’s Disease Treatment in Hyderabad
Assessment and conservative treatment are modest in cost. Surgical correction is the significant expense, and most men do not need it.
| Procedure | Estimated Cost |
|---|---|
| Consultation Private and confidential | ₹800 – ₹1,500 |
| Penile Doppler ultrasound Measures curvature and blood flow | ₹4,000 – ₹9,000 |
| Traction device One-off device cost | ₹8,000 – ₹25,000 |
| Intralesional injection course Multiple sessions over months | ₹25,000 – ₹70,000 |
| Shockwave therapy course Mainly for pain relief | ₹35,000 – ₹80,000 |
| Plication surgery One night’s stay | ₹1,20,000 – ₹2,20,000 |
| Plaque incision with grafting Includes graft material | ₹1,80,000 – ₹3,20,000 |
| Penile implant with correction Dominated by the device cost | ₹4,50,000 – ₹8,00,000 |
What changes the estimate
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Phase at presentation
Early acute-phase disease is managed with traction and medication at a fraction of surgical cost. Late severe curvature usually needs an operation.
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Which operation
Plication is the least expensive. Grafting adds the graft material, and an implant is dominated by the price of the prosthesis.
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Coexisting erectile dysfunction
Where ED is significant, an implant addresses both problems at once but is the most expensive option.
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Room category
A shared ward, a twin-sharing room or a private suite: the largest single swing in most estimates.
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Insurance & TPA cover
We are empanelled with most major insurers, and our team files the pre-authorisation for you.
Every figure above is an indicative range, not a quote. After your consultation you are given a written, fixed-cost estimate, and that is the number you pay, with no additions once treatment begins.
Other Urology Treatments
Our Surgeons
Peyronie’s Disease Specialists at Lux Hospitals
The urologists who treat Peyronie’s disease at our HITEC CITY hospital.
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Dr. Vipin Reddy B
Consultant Urologist & Andrologist
MBBS, MS, DrNB (Urology)
10 years experience
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Dr. Sreeniketh Reddy
Consultant Urologist & Andrologist
MBBS, MS, MCh (Urology)
9 years experience
Testimonials
What Patients Say About Their Treatment
Reviews from patients treated for urological and men’s health conditions at Lux Hospitals, Hyderabad.
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Got Questions?
Frequently Asked Questions
Common questions about Peyronie’s disease, its treatment and what care costs at Lux Hospitals.
What is the best treatment for Peyronie’s disease?
It depends entirely on the phase. In the acute phase, while the curve is still changing and erection may be painful, traction therapy and intralesional injections are the mainstays. Once the disease is stable and if the curve still prevents intercourse, surgery is the definitive treatment: plication for moderate curves, grafting for severe ones, and an implant where erectile dysfunction coexists.
What happens if Peyronie’s disease is left untreated?
Roughly one man in eight improves spontaneously and about half stay stable, but the remainder progress. Untreated disease can lead to worsening curvature, shortening, inability to have intercourse and erectile dysfunction. Because non-surgical treatment works best early, waiting to see what happens has a real cost.
Are there non-surgical options for Peyronie’s disease?
Yes. Penile traction therapy is the best-established, worn several hours daily over months. Intralesional injections of verapamil or collagenase soften the plaque. Oral medications and shockwave therapy help with pain more than curvature. All of these work considerably better during the acute phase than after the plaque has matured.
When is surgery appropriate?
Only once the disease is stable, no change in curvature for at least six months and pain resolved, and where the curve still prevents satisfactory intercourse. Operating during the acute phase risks the curve continuing to change afterwards, which is why stability is a prerequisite rather than a preference.
Will surgery shorten my penis?
Plication straightens by shortening the longer side, so some length is lost, usually one to two centimetres, and it is measured and discussed beforehand. Grafting preserves length by lengthening the short side instead, but carries a higher risk of erectile dysfunction. That trade-off is the central decision.
Does Peyronie’s disease cause erectile dysfunction?
It often coexists. Sometimes the plaque itself impairs the mechanism that traps blood in the penis, and sometimes the anxiety and pain contribute. Erectile function is assessed as part of the workup, because significant ED changes which operation is appropriate.
What causes Peyronie’s disease?
The accepted explanation is abnormal healing after minor injury during intercourse, in men predisposed to excessive scar formation. It runs in families and is associated with Dupuytren’s contracture of the hand. It is not caused by masturbation, infection or anything you did wrong.
Is Peyronie’s disease a form of cancer?
No. The plaque is benign fibrous scar tissue and does not become cancerous. It is worth having any penile lump examined so the diagnosis is confirmed, but Peyronie’s itself carries no cancer risk.
How much does Peyronie’s treatment cost in Hyderabad?
Assessment with Doppler ultrasound is ₹4,800–₹10,500. A traction device is ₹8,000–₹25,000 and an injection course ₹25,000–₹70,000. Plication surgery is ₹1,20,000–₹2,20,000, grafting ₹1,80,000–₹3,20,000, and an implant ₹4,50,000–₹8,00,000.
How can I book a confidential appointment at Lux Hospitals?
You can book by calling us, messaging us on WhatsApp, or walking into Lux Hospitals, HITEC CITY. It helps considerably to bring photographs of the erect penis from several angles, since curvature cannot be assessed in the flaccid state.
Still have questions? Call us at 079 6908 4422
Still have questions? Message us on WhatsApp at 079 6908 4444
Book a Confidential Consultation in Hyderabad
Objective assessment of penile curvature and stage-appropriate treatment, with costs shared upfront.
Plot No.116, Lumbini Avenue, HITEC CITY, Near IKEA, Hyderabad – 500032