Peyronie’s Disease

Men with this condition have an abnormal curve in their penis caused by areas of hardened scar tissue that form under the surface of the skin. The scarring also makes the penis less flexible and may also cause pain and problems with erections and sexual intercourse.

What Causes Peyronie's Disease?

We do not know what exactly causes Peyronie’s disease, but many experts believe that the scarring is developed as a result of abnormal wound healing.

This may happen when you injure your erect penis through rough, vigorous sex, or a hard knock in the groin during contact sport or from a nasty prank. Often, you may not even be aware of the injury.

Normally, as a wound heals, your body will break down the scar tissue and reduce its size over time. Unfortunately, this process is not always perfect.

For those with Peyronie’s disease, the scars do not remodel properly. Instead, an excessive amount of scar tissue is formed, which causes the penis to lose its elasticity and start to bend. Sometimes, the curvature is severe enough to make any form of penetration – vaginal, oral or anal – difficult.

Development Of Peyronie’s Disease

Active Phase

The Active Phase lasts for about 1-2 years. During this period, the abnormal wound healing process progresses and the penis continues to slowly bend across this time. This phase of Peyronie’s disease causes pain and discomfort over the penis.

Chronic Phase

This phase usually occurs when the pain subsides and the curvature of the penis doesn’t worsen any further and the disease stabilises.

Nonsurgical Treatment Options For Peyronie’s Disease

Men who are in the active phase of Peyronie’s disease may opt for nonsurgical treatments such as the following:

The low intensity extracorporeal shockwave treatment works on the basis of powerful acoustic waves.

When these waves are directed into the plaque, they can exert a mechanical effect that breaks the plaque down. The focused shock waves also help to promote blood flow to the area where the plaque is, which support the growth of special cells in the blood called macrophages that lyse or “eat” through the plaque.

ESWT is best for treating the pain associated with Peyronie’s disease during the acute or even in the stable phase of the disease.

Platelet Rich Plasma is the special golden extract rich in growth factors that is obtained when a sample of your blood is spun down in specialised tubes in a centrifuge. This extract is then injected into the scar or painful area. The injections help to reduce inflammation and promote tissue healing.

This new and novel strategy has promising data from studies that PRP can reduce the plaque size by 50%, improve the curve of the penis by 50% and reduce pain from Peyronie’s disease by 80%.

Vacuum Erection Device

A vacuum erection device is a cylinder that is attached to a pump. When activated, the device creates a vacuum that forces blood into the penis. Once an erection is formed, a constriction ring is placed at the base of the penis to maintain the straightened erection for the desired duration.

Traction Device

This is a special device that is worn for 6-9 hours a day to lengthen and straighten the penis.

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How does Peyronie's disease affect sexual relationships?

In some cases, patients with Peyronie’s disease find that erections and sexual intercourse are difficult or even impossible.

There is also an emotional impact as patients may feel anxious or depressed about satisfying their partner.

We encourage couples to come for consultations together to facilitate an open communication where they can express their concerns and needs to help us provide better recommendations and adjustments for maintaining intimacy in their sexual relationship.

Can Peyronie's disease cause erectile dysfunction?

It is possible that some men with Peyronie’s disease may also develop erectile dysfunction, as the plaques may make it difficult for an erection to occur, or for a strong erection to be sustained.

As men who are dealing with Peyronie’s disease are often in distress about their condition, this may lead to psychological issues and ‘performance anxiety’ that may affect their erections as well.

Fortunately, both conditions can be managed. Speak to a doctor to determine the appropriate treatment options for your situation.

Is surgery required to treat Peyronie's disease?

Most men do not require surgery, as the abnormal penile curvature is often not severe.

For severe cases, surgery is required. Tunica Albuginea Plication involves stitching tissue on the opposite side of the affected area to even out the curvature. More severe cases are treated with a plaque incision and grafting procedure, which involves cutting out the plaques and filling it with tissue from another part you body.

Surgery can only be done once the Peyronie’s disease has stabilised and the abnormal curvature is at its peak and not worsening further – meaning the disease is in its chronic phase.

Dr Jessherin Sidhu

Affectionately known to her patients as Dr Jess, Dr Jessherin Sidhu adopts a holistic approach to patient care. She is a firm believer that relationships, sexuality and sexual behaviour are factors that have a significant impact on overall health.

With her sex-positive and health-focused approach, Dr Jess encourages safe and open discussions of sexual health issues that extend beyond just treating diseases.

See what our patients have said about us

Brandon Chee

August 21, 2019 via Google

When I first saw Dr Jess for my issue, I was afraid and apprehensive. Moreover, I wasn't exactly keen in talking to a female doctor as I wasn't sure if she would judge me or be empathetic towards my case. I soon realised that I could not be more wrong. What made the difference was that she was extremely patient and took the time to listen to me, and would sort out every single one of my concerns. She conducts her clinical sessions with extreme professionalism and I always feel comfortable around her. The best part was that she was never judgemental, and never made me incur any unnecessary costs. There are many doctors out there, but most do not take the time to really hear their patients out. I would highly recommend her if you are on the fence about seeing a doctor for your condition, because Dr Jess is a medical practitioner who truly cares about her patients' well being!

Brian Morris

July 23, 2019 via Google

Dr. Jess is that excellent (and very rare) combination of big-hearted warmth and extreme clinical competency. She's interested and curious, has a deep desire to help, and always remembers what we discussed and done in the past. Also, her new space is comfortable and beautiful! I can't overrecommend this experience... check it out!

Neil Armstrong

September 5, 2019 via Google

I'd spent a while trying to find a general practitioner in Singapore with some very, very mixed results (although I will admit to being a difficult patient sometimes). Dr. Jess was recommended to me when I suffered an acute condition and I can't believe how lucky I am to have found her when I did. She has that fantastic ability to be both amazingly friendly and approachable whilst still being incredibly knowledgeable, professional and focused on getting the best outcome possible for your health needs at the same time. As someone who has a background history in medical research and teaching medical students, I'm constantly impressed with the way Dr. Jess has always used both trusted, conservative methods whilst also being up to date with new techniques and the latest knowledge, and will research for answers and present it in a manageable, down-to-earth and tailored way - or recommend excellent specialists when required. I cannot recommend her highly enough, and she would be my doctor of choice no matter where I lived in Singapore. Also worth mentioning is that her staff are always very polite, friendly, competent and go out of their way to be helpful. I don't write reviews very often, but five incredibly well deserved stars.

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