Thank you for your patience and we apologize for the inconvenience.
Our hold times may be longer than usual as our team is currently undergoing a transition and training to serve you better.
For faster service, we encourage you to use our patient portal to message your care team, request appointments, or access health information anytime.
Thank you for your patience and we apologize for the inconvenience.
Our hold times may be longer than usual as our team is currently undergoing a transition and training to serve you better.
For faster service, we encourage you to use our patient portal to message your care team, request appointments, or access health information anytime.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
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  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
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866-367-8768
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Peyronie’s Disease Treatment at Urology Partners of North Texas (UPNT)

Expert Men’s Health Care in Dallas-Fort Worth

Peyronie’s disease causes curved or painful erections due to fibrous scar tissue (plaques) forming in the penis. While mild cases may resolve on their own, severe cases can affect sexual performance, cause discomfort, and reduce quality of life. At Urology Partners of North Texas (UPNT), our specialized urologists offer comprehensive diagnosis and personalized treatment plans to help you regain confidence and improve your sexual health.

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What Are the Symptoms of Peyronie’s Disease?

Symptoms can vary depending on the severity of the condition. Common signs include:

  • Deformity of the penis including curvature, indentation, and hinging
  • Pain during erections (especially in the early stages)
  • Palpable plaques (hard lumps under the skin of the penis)
  • Erectile dysfunction (ED)
  • Penile shortening

For some men, Peyronie’s disease progresses slowly, while for others, the curvature can worsen quickly. Early diagnosis and treatment are crucial to prevent long-term complications.

Causes and Risk Factors of Peyronie’s Disease

The exact cause of Peyronie’s disease isn’t always clear, but several factors are linked to its development:

Common Causes

Trauma or Microtrauma:
Only about 20% of men with Peyronie’s disease recall a history of penile trauma (injury during sexual activity or sports). For the majority, there may not be a singular memorable event, but rather the accumulation of “microtrauma” over time through general wear-and-tear on the penis.
Genetic Predisposition:
20–30% of men with Peyronie’s disease have a family history of fibrotic conditions like Dupuytren’s contracture. Peyronie’s disease prevalence is highest in men of Northern European descent.

Risk Factors

Age:

Peyronie’s disease commonly affects men aged 50–70, with a prevalence of up to 10% in this age group.

Dupuytren’s Contracture:

10–20% of men with Peyronie’s disease also have this hand condition, which causes thickened cords in the palms.

Chronic Conditions:

Diabetes, hypertension, and cardiovascular disease are associated with an increased risk.

Diagnosis and Evaluation at UPNT

At UPNT, our diagnosis of Peyronie’s disease involves a detailed medical history, physical examination, and advanced diagnostic tools.

1. Penile Ultrasound

A non-invasive imaging test used to:

  • Assess the size and location of plaques
  • Measure penile curvature
  • Evaluate blood flow for related vascular issues

2. Erectile Function Assessment

We may assess your overall erectile function to determine whether additional treatments (like PDE5 inhibitors) are necessary.

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Treatment Options for Peyronie’s Disease

At UPNT, we offer a stepwise treatment plan, starting with non-invasive therapies and advancing to surgical solutions if needed.

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1. Oral Medications and Supplements

  • Tadalafil: Pro-erectile medication to increase blood flow to the penis.
  • Pentoxifylline: Reduces inflammation and collagen scar formation.

2. Collagenase Injections (Xiaflex®)

Xiaflex® is the only FDA-approved treatment for Peyronie’s disease that reduces penile curvature by breaking down collagen in the plaques. This is often the most appropriate first-line therapy for most patients.

How Xiaflex® Works:

  • Series of injections directly into the plaque
  • Modeling exercises to help straighten the penis over time
  • Typically requires up to 4 treatment cycles
  • Success Rate: Many men experience significant curvature reduction and improved function after Xiaflex® treatment. With proper modeling (stretching) and care, curvature reductions of >80% are possible.

3. Penile Traction Therapy

A device that gradually stretches and straightens the penis. When combined with Xiaflex injections, it significantly improves the treatment outcome

4. Shockwave Therapy (Experimental)

Low-intensity shockwave therapy is being studied for its potential to reduce pain and improve blood flow. While considered experimental, some men report symptom relief.

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5. Surgery for Severe Cases

Surgery is recommended when other treatments fail. Options include:

  • Plication Surgery: Shortens the unaffected side to reduce curvature.
  • Plaque Excision and Grafting: Removes the plaque and uses a graft to restore normal tissue.
  • Penile Prosthesis (Implant): Best for men with severe Peyronie’s disease and erectile dysfunction.

Why Choose Urology Partners of North Texas for Peyronie’s Disease Treatment?

At UPNT, we combine expert care with state-of-the-art diagnostic tools to deliver the best possible outcomes.
  • Experienced Urologists: Our specialists have extensive experience treating Peyronie’s disease. The Men’s Health Center at UPNT is the highest volume Xiaflex treatment center in the state of Texas with several providers being national authorities on Peyronie’s Disease
  • Advanced Diagnostics: Including one of the only centers in North Texas to offer penile ultrasound for precise evaluations.
  • Comprehensive Care: Offering a full range of treatments, from Xiaflex® injections to the most complex versions of Peyronie’s surgery.

Living with Peyronie’s Disease

Living with Peyronie’s disease can be emotionally challenging. At UPNT, we focus not just on physical treatments but also on supportive care to help men manage the psychological impact of the condition.
  • Counseling Services: Available to help address anxiety and relationship concerns.
  • Partner Support: We encourage open communication with your partner about your condition and treatment options.

Frequently Asked Questions (FAQs)

What causes Peyronie’s disease?

Peyronie’s disease is caused by scar tissue formation in the penis, often due to injury or trauma. Genetics and certain health conditions may also play a role.

In some cases, Peyronie’s disease can improve or stabilize on its own. However, without treatment, severe cases may lead to permanent curvature and erectile dysfunction.

Xiaflex® has shown high success rates for reducing curvature in men with moderate Peyronie’s disease. Most men experience noticeable improvement of 50-80% after completing treatment cycles.

Surgery is recommended for men with severe curvature or those who do not respond to other treatments.

Take the First Step Toward Better Health

At Urology Partners of North Texas, we’re dedicated to helping men with Peyronie’s disease regain confidence and improve their quality of life.

Why Wait? Schedule Your Consultation Today!

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