Penile Curvature / Peyronie's Disease
Diagnosis:
Penis deviation upon erection associated with firm plaque
Management prior to referral:
- There is little value in imaging tests
- Treat ED that may be associated.
- There is no effective medical/drug therapy for Peyronies
- Ask patient to bring a photo of erect penis on an electronic device to appointment
Referral:
Surgery is usually reserved for those in whom intercourse is impossible as penile shortening and sensation loss typically results.
Consider referring men with associated ED and who seek another discussion before accepting the implications of the disease
Reg Flags:
Exclude penile cancer
Patient information:
https://www.baus.org.uk/_userfiles/pages/files/Patients/Leaflets/Peyronies.pdf
Contributors
Mr Christopher Blake, Consultant Urologist, RCHT
Dr B Wesson, GP & Kernow RMS Urology Guideline lead
Review date: November 2021
Next review due: November 2022