Men's urology

Peyronie's disease

A new bend, a firm lump, pain when erect. It's more common than most men think, and most wait too long to ask. Here's what's actually happening, and what a urologist can do about it.

  • Up to 1 in 10

    Men affected

  • 40s–60s

    Most common ages

  • 45 min

    Private consult

  • TH·EN·ZH

    Spoken here

Medically reviewed by Dr. Noppon Arunkajohnsak (Win)

MOPH-licensed clinic

4.6 from 158 Google reviews

92% five-star ratings

Private & confidential

Signs

  • A new curve or bend when erect

  • A firm lump or band you can feel under the skin

  • Pain during erections, especially early on

  • Shortening or an hourglass narrowing

  • Erections that are harder to keep

Common causes

  • Micro-injury that heals as scar tissue, the most accepted

  • Genetics, often alongside Dupuytren's contracture

  • Age-related changes in connective tissue

  • Diabetes and vascular risk factors

  • Smoking, which slows tissue healing

When to see a doctor

  • The curve is new or still changing

  • You can feel a lump or hard band

  • Erections have become painful

  • Sex has become difficult or uncomfortable

  • You just want a straight answer

Understanding the condition

It's scar tissue, and it follows a pattern

Peyronie's disease is a patch of scar tissue, called a plaque, in the sheath that surrounds the erectile tissue. Scar tissue doesn't stretch, so the erection bends toward it. It isn't cancer, it isn't an infection, and it isn't caused by anything you should feel ashamed of.

It moves in two phases. The active phase, typically the first 6 to 18 months, is when the curve can change and erections may hurt. After that most cases stabilise. What makes sense to do depends entirely on which phase you're in, which is why measuring matters more than guessing.

Honesty first: a mild, stable curve that doesn't interfere with sex may need no procedure at all. Correction is a conversation for curves that have stopped changing and still get in the way. And because the plaque can affect blood flow, erection problems often overlap, so we assess both together.

Most men who come in fear the worst. Our first job is to measure what's actually happening. Often the honest answer is monitor, not operate.
Dr. Noppon Arunkajohnsak (Win)

Our solutions for Peyronie's disease

Options, matched to the phase

We stage the condition first: active or stable, mild or interfering. The plan follows from that, not the other way round.

If it's stable and interfering

Peyronie's correction surgery

Straightens a curve that has stopped changing and still gets in the way of sex. Performed by board-certified urologists, discussed only once the condition is stable.

Explore the procedure

If erections are affected

Tadalafil

A prescription ED medication, daily or on demand, that supports erection quality while the curve is assessed and monitored.

Read the guide

Often overlaps

Erectile dysfunction care

Curvature and erection problems frequently arrive together. The ED hub covers causes, testing and the medication options doctors actually use.

See the options

Your journey

What happens when you come in

1. Private consult

45 minutes, one to one, no judgment and no audience. When the curve appeared, whether it's changing, any pain: your history does most of the diagnostic work.

2. Assessment & measurement

Examination, curvature measurement and an ultrasound where indicated, plus bloods if erections are affected. The phase and severity are measured, not guessed.

3. Your plan

Monitor, treat overlapping erection problems, or discuss correction once stable. Honest options either way. You decide, never pressured.

4. Same doctor follow up

The curve is re-measured over the following months by the doctor who saw you. If it's stable and not a problem, we say so. No hand offs, no commissions.

Meet the doctors

Who you'll see

Board-certified urologists who assess penile curvature every week, trained internationally. The same doctor from consult to follow-up.

Dr. Noppon Arunkajohnsak (Win)

Dr. Noppon Arunkajohnsak (Win)

Board-certified Urologist

Dr. Attapol Mahalelakul (Do)

Dr. Attapol Mahalelakul (Do)

Board-certified Urologist

Dr. Chonlatee Roekmongkolwit (Boss)

Dr. Chonlatee Roekmongkolwit (Boss)

Board-certified Urologist

What our patients say

Menscape Clinic Bangkok consultation room

Book your consultation today.

Medications

After dealing with counterfeit ED medication bought online, I switched to Menscape. Dr. Win prescribed authentic medication and I can actually trust what I am taking. The in-clinic pharmacy is very convenient.

Alan S. · Verified patient review

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Frequently asked questions

Is a curved erection always Peyronie's?

No. A slight, lifelong curve is normal and needs nothing. Peyronie's is different: the curve is new, it may change over months, and you can usually feel a firm lump or band where the scar tissue sits. A short exam settles it.

Will it go away on its own?

Sometimes, but not usually. In a minority of men the curve improves without treatment; most stabilise where they are, and some progress. That's exactly why we measure it over time instead of guessing.

Do I need an operation?

Many men don't. If the curve is mild, stable and sex is comfortable, monitoring is a legitimate plan. Correction is worth discussing once the curve has stopped changing and still interferes with sex. The doctor lays out both paths honestly.

Why does it hurt, and will the pain stop?

Pain usually belongs to the active phase, while the plaque is still forming. For most men it settles as the scar tissue matures, typically within 12 to 18 months. Pain that persists or gets worse is a reason to come in.

Can Peyronie's affect my erections?

Yes, the two often overlap. Scar tissue can change blood flow and make erections harder to keep. That's treatable in its own right, which is why we assess erection quality and curvature together in the same visit.

Get a straight answer about the curve

Get a straight answer
about the curve
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