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Peyronie’s disease (What to do?)

Peyronie’s disease is a challenging subject to talk about. 

Not only is it tough for the guy, but it’s also tough to treat. 

Minor injury and scar tissue on the penis don’t always lead to Peyronie’s disease. However, various factors can contribute to poor wound healing and scar tissue build-up that might play a role in Peyronie’s disease.

Peyronie’s disease rarely goes away on its own. In most men with Peyronie’s disease, the condition will remain as is or worsen. Early treatment soon after developing the disorder may prevent it from worsening. 

Spotting it early on is vital. A reader of mine sent me an email that may or may not lead to Peyronie’s disease.

Check out his email and my response below.

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“Hi Susan, I got your message on Instagram. I was just sending you an email as suggested. So, I bought a pump, started using it, and thought of upgrading to a water-type pump.

Also, I wonder what else I can do to get back the size I have lost from this build-up of scarring that I can feel by touch.

I am kinda pissed off at the whole medical community for having me go through referral and referral and wait times while it just got worse and worse every month.” — Michael (not his real name) 


Hi Michael,

Here is the response from

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, a board-certified urologist and penile surgeon experienced in Peyronie’s management and mitigation. 

“Peyronie’s disease is one of the most complicated disease processes we see in urology.  

Every case is unique: curves can be up, down, left or right, proximal or distal, hourglass, or no.  

The plaques can be calcified or noncalcified. Erectile function can be normal, weak, or very weak. And penis size can be highly variable. 

For this reason, each case needs to be individually assessed and treated by someone who has a lot of experience. The only traction device that has been shown to work with Peyronie’s disease is the Restore X which the Mayo Clinic developed.

I use the pump from Dr. Joel Kaplan if patients have hourglass deformities. However, traction and suction are not enough. The patient either requires low-intensity shockwave therapy or injections of Xiaflex.  

Xiaflex is a collagen dissolving enzyme that should be administered only by experienced and specially trained urologists. There is no data that Phoenix improves disease.  

Plication surgery is a last resort for men with severe curvature and adequate penile length.  Grafting technology has not proven to restore penile length in my experience. 

Most general urologists are not experts or experienced at treating Peyronie’s disease.  I would seek out someone who specializes in sexual medicine and is highly motivated to help you.” 


Thanks, Dr. Judd! 

So, according to the good doctor, DIY isn’t the way to go now if you have Peyronie’s.

He suggests seeking professional help from highly-experienced urologists who have worked with many Peyronie patients for years. 

You’ll want to check out the options in your local area. 

Dr. Judson Brandeis has also written a NEW book that may change the way men in midlife and beyond can recover, rebuild, and maintain their physical, mental, emotional, and sexual health. 

Lots of good information and advice inside. Not just from Dr. Judd himself but other top doctors in the male sexual health space. 

The book is called “The 21st Century Man.” It has contributions and advice from over 50 top doctors and Men’s Health Experts. 

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