last updated April 1, 2020
Yes. Sometimes penis surgery is necessary because the bend is so severe, or, because the erection has an hourglass shape.
FORTUNATELY: Surgery to straighten a bent penis is only necessary in about 1 of 1,000 cases of Peyronies disease bend.
We get this question often. And, we feel it is a very important question.
The reason is:
Surgery is usually unnecessary
surgery comes with too many serious possible
horrible side effects.
Penis surgery has been called “the gold standard” straightening method for a long time.
For those who are not versed in medical language, “gold standard” means it is considered the best treatment available and that treatment which all other treatments are compared to.
For good reason. Before 1994, penis surgery was the only medically approved straightening method that really worked reliably.
The injections were minimally successful. As were the medications and creams.
The viewpoint on that is changing for these two reason:
1) There are many serious possible side effects from penis surgery which include and are not limited to:
“....over 65% of patients were unhappy with the outcomes of the Peyronie's surgery at 5-year follow-up. Penile length loss and worsening of erectile dysfunction was the most common reason for dissatisfaction.”
reference: Dr. Nelson Bennett,
“Five-year follow-up of Peyronie's graft surgery: outcomes and patient satisfaction.”
2) Future Peyronies bending and Worsening of Erectile Dysfunction
“....and patients must be warned
that long-term worsening of the quality of the erection
may occur in up to one-third of cases.”
reference: Asian Journal of Andrology
Long-term results of the surgical treatment of Peyronie's disease with Egydio's technique: a European multicentre study
At the end of the day: 65% of the patients were dissatisfied with the long term (5 year) results of
There are more than a few methods of penis straightening surgery being used.
But, basically there are one of two things being done:
Shorten the longer side of the shaft.
- These methods (for example the Nesbit procedure) will leave you with a shorter erection.
Lengthen the shorter side with a graft.
- These methods have a much higher incidence of causing erectile dysfunction, and, the need for phosphodiesterase type 5 (PDE5) inhibitors (Viagra type drugs) after surgery.
Here’s what a penis surgery looks like:
When you cut a penis up this way, is there any question why sensation and function might be lost?
Yes, a penis surgery is quick. The fastest. The procedure takes about 1 hour.
The recover (healing) about 6 - 8 weeks.
The satisfaction rate immediately after recovery is above 90% (even though a Viagra type drug is often needed for erection).
5 years down the road, as side effects develop, 65% of men are dissatisfied with the surgery.
“Surgery...for Peyronies disease.... 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.”
reference: University of California San Francisco,
Surgical Treatment for Peyronie's Disease
This is the most important question here.
Are you in a hurry?
Sure, getting back to a having a normal erection as quickly as possible is very desirable.
But, if you become impotent, or the bending returns in 5 years, as well as you getting erectile dysfunction, was the rush worth it?
By our estimates, less than 0.01% of men need a penis surgery for straightening. That’s 1 out of 1,000.
And, even then, doctors only usually recommend a penis surgery for cases that did not respond to any other treatment.
First of all, there are only three medically endorsed methods of straightening that have proven to work reliably:
You’ve just learned about the pros and cons of a penis surgery.
So, what about the injections?
The only FDA approved injections for straightening Peyronies Disease are Xiaflex® injections.
They are relatively fast and not as invasive as a penis surgery.
Xiaflex® is a patented trade name for the form of the enzyme collagenase called: collagenase clostridium histolyticum.
The process is simple. It takes about 6 -10 sets of injections.
We call it the rich man’s method.
A full set of these injections will cost you about $30,000 and they come with some pretty serious possible side effects of their own. These side effects include corporal rupture (your shaft bleeds internally and require immediate surgery).
You can get all the details at the official Xiaflex® website.
The best you can expect from these injections is 35% improvement in straightening. Even that is only for certain types of cases.
But, 35% improvement may be all you need to have comfortable intercourse again.
If you are looking for the safest and most effective medically recommended Peyronies disease treatments, there is penis traction therapy.
PTT takes time. And, many men want the immediate results of a penis surgery. Even with the hideous possible risks.
Penis Surgery will take:
If all works out well, for about $9,000 you’re ready to go.
Penis Traction Therapy will take:
And, you will spend under $300
Both methods work.
Both methods are medically endorsed and recommended.
Which method do you think makes the most sense to try first?
Penis Surgery is still called “the gold standard” method of penis straightening. We don't think so.
- We believe this will soon change in the years to come when more doctors are familiar with the results of traction therapy.
- Penis surgery is expensive: $9,000 - $18,000.
- Penis surgery come with many possible serious side effects that include impotence.
- With a penile surgery you stand a 33% chance of future bending and worsening erectile dysfunction.
Penis Traction Therapy offers the safest straightening method.
- With PTT you have NONE of the possible surgical side effects.
- With PTT you spend under $300.
There are just three medically endorsed and recommended penis straightening methods that work reliably:
Which one you choose is a personal choice and depends on your knowledge of each, cost, and the risks you are willing to take.
All that really matters here is: What makes the most sense to you to try first?
Be In Good Health.....
~ William (editor)