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University of California San Francisco
Patient Education

Surgical Treatment for Peyronie's Disease

Related Conditions
Peyronie's Disease

Surgery has been shown to be the most effective treatment for Peyronie's disease in correcting the curvature of the penis. However, it is usually only recommended in severe cases for patients who fail to respond to non-surgical therapy and have curvature for longer than 12 months.

UCSF Medical Center offers the latest surgical techniques for Peyronie's disease. These include placation, grafting and penile prosthesis.

Plication

Grafting

Penile prosthesis

Surgical technique

Stitches are put on the longer side of the penis to pull the penis to the middle

Incision is made on the short side of the penis and a graft — either a vein or pig small intestine graft — is placed to match the long side

A prosthesis is placed to help erection and straighten the penis

Penile length

Same as the length when penis stretched in the flaccid state

1/2 to 1 inch longer than the stretched penile length

About the same as stretched penile length

Risk of impotence after surgery

Very small

From 10 percent to 50 percent depending on penile circulation

N/A

Risk of nerve injury

Small

High

High

Operation time

1 hour

3 to 4 hours

3 to 4 hours

Anesthesia

Local plus sedation

General or epidural

General or epidural

Hospital stay

Not necessary

Overnight stay

Overnight stay

Return to work

1 day

2 to 3 days

2 to 3 weeks

Resume sexual intercourse

5 weeks

8 weeks

5 to 6 weeks

Other considerations

Cannot correct indentation or hourglass deformity

Second incision needed if vein is used

Higher infection rate

UCSF Health medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.

Related clinic

Urology Practice

400 Parnassus Ave., Sixth Floor, Suite A610
San Francisco, CA 94143

(415) 353-2200
M-F, 8 a.m. - 5 p.m.

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Did you know?

In 1981, UCSF's Gail Martin co-discovered embryonic stem cells in mice and coined the term "embryonic stem cell." Today, our stem cell center is one of the largest in the U.S., and our researchers there are developing new treatment strategies for a broad range of disorders, including heart disease, diabetes, neurological conditions and cancer.

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