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Mr Musaab Yassin · Andrology · Peyronie's disease

The timing decides the treatment.

For men with a change in shape, a lump, or painful erections. The point of these questions is to establish whether the condition is still active or has settled — because that, more than the angle, determines what can safely be done.

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This form does no saving and no transmitting. Your answers exist only in this browser tab and disappear when you close it. At the end you can print the summary or copy it into an email — that is the only way it reaches the clinic, and it stays entirely in your control.

Part one · Everyone

Your details, and anything affecting anaesthesia.

Short, and the same on every form. The blood-thinner question matters most: several of the procedures I perform can be done without stopping them, but only if that is planned in advance.

Are you taking any blood-thinning medication?

Warfarin, apixaban, rivaroxaban, edoxaban, dabigatran, clopidogrel, ticagrelor, aspirin.

Have you been diagnosed with diabetes?
Have you had previous urological surgery or pelvic radiotherapy?

Part two · Timeline

When it started, and whether it has settled.

Almost every decision here turns on one thing: whether the condition is still active or has stabilised. Surgery on a curve that is still changing risks correcting the wrong angle, so establishing this comes first.

Has the shape stayed completely unchanged for the last three to six months?
Do you get pain during an erection?

Part three · The deformity

Shape, and what it stops you doing.

A rough estimate is fine. Photographs taken at home from three angles while erect are far more accurate than any description, spare you an examination under an induced erection in a clinic room, and can be brought on your phone.

Which way does it curve?
Have you noticed any of these?
Does the curve physically prevent intercourse?
Setting the curve aside, are your erections firm enough for penetration?

This determines whether straightening alone will solve the problem, or whether an implant is the better operation.

Do you have Dupuytren's contracture — a thickened cord in the palm that bends a finger?

It shares an underlying tendency to form scar tissue, so it is a useful thing to know.

Have you tried any treatment already?
How much does the condition distress you?

This is not a scored questionnaire. It is here because distress is a legitimate reason to treat, and men consistently under-report it in person.

Your summary

This updates as you answer. Print it, or copy it into an email to admin@oxfordmenshealth.uk. Bring a copy either way — it is useful to have in front of us both.

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