What I treat · Peyronie’s disease
Peyronie’s disease, and a shape that has changed
A change in shape arrives without warning, is difficult to raise with anyone, and is too often met with “nothing can be done”. That has not been true for a long time.
Scar tissue forms in the sheath around the erectile cylinders; healthy tissue expands during an erection and scar does not, so the shaft bends. Almost every decision turns on one question first — is it still changing, or has it settled? While it is still moving, surgery is unsafe but injection therapy and traction are not. Once the shape has held steady, correction is both appropriate and highly effective.
Erections commonly suffer alongside the curve, and the two are assessed in the same appointment rather than separately — erectile dysfunction has a page of its own, because where erections have already failed the operation that corrects both problems at once is a different conversation entirely.
Assessment and treatment are held in one appointment. Where the examination and, if it is needed, the ultrasound point to injection therapy, the first Perovial injection can be given the same day — so most men start treatment on the visit they were assessed on, rather than waiting for a second appointment to begin.
Perovial is hyaluronic acid, injected into the plaque while the disease is still active. It is a prescription-only medicine, given in clinic, and it is offered only after an assessment has established that the disease is in a phase where it is worth giving. A course runs weekly for roughly ten to twelve weeks.
One-stop clinic
Peyronie’s disease is assessed and treated in a single visit: history and examination, a penile ultrasound where the plaque needs measuring, and the first Perovial injection given the same day if you decide to go ahead. Nobody is sent away to come back for treatment that could have been started while they were in the building.
If a GP is referring you, ask them to mark the referral “one-stop Peyronie’s” and the practice team will hold an ultrasound slot alongside the consultation.
Treatments offered
- Phase assessment and duplex mappingBAUS leaflet16/088BAUS is revising this one
- Intralesional injection therapy
- Traction protocols
- Plication and Nesbit correctionBAUS leafletA24/087
- Incision and grafting
- Penile prosthesisBAUS leafletA24/082
The leaflets above are published by the British Association of Urological Surgeons (BAUS) and open in a new tab. They are linked, not hosted or altered.
What a course costs
- Consultation and phase assessment £295 Consultant assessment, examination and a written plan. You are under no obligation to go on to treatment.
- The first injection No charge Medicine, local anaesthetic, consumables and facility fee. If you decide afterwards not to continue, you are not billed for it.
- Ten-injection course £4,500 Ten treatments in all, the first one included. Medicine, local anaesthetic, consumables and facility fees throughout.
- Twelve-injection course £5,000 Twelve treatments in all, on the same basis.
- Review at the end of the course Included Consultant review, and an honest reading of what the course achieved.
- Penile ultrasound, where it will change something £300–£400 Plaque, anatomy, vascular response and curvature. A repeat scan afterwards, if it is needed, is £250–£300.
Quoted in writing before anything is arranged. Surgical correction is priced separately and only discussed once the shape has settled.
Written and reviewed by Mr Musaab Yassin, Consultant Urological Surgeon & Andrologist. FRCS (Urol) · GMC 6118378 ·
