Treatment of Men with Complex Multidimensional Penis Curvature Caused by Peyronie’s Disease
If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4050.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients.
We offer affordable prices with or without insurance.
Complex Penile Curvature (Curve Down or Up plus to the Side or Corkscrew Curvature)

Penile Curvature in Men
Complex penile curvature of the penis with a component of both ventral or dorsal curvature (pointing up or down) and a component of sideways curvature pointing to the right or left side affects approximately 20-300% of men with Peyronie’s disease.
“Ventral curvature” causes the penis to point or curve down. Dorsal curvature causes the penis to point or curve up.
A combination of lateral curvature and ventral or dorsal curvature complicates both evaluation and treatment of Peyronie’s disease. Complex penile curvature requires significant expertise in order to correctly measure the curvature. Evaluation of treatment success becomes more complicated as well.
Treatment choices are guided by the presence or absence of a palpable lump (penile plaque), the severity of symptoms, and patient preferences. If a patient experiences erectile dysfunction, the treatment of erectile dysfunction affects the choice of treatment used to treat Peyronie’s disease.
Where to Get Peyronie’s Treatment in NYC?
At New York Urology Specialists, we offer treatment for men with Peyronie’s disease.
Call/text today: 1-646-663-4050 or make an appointment online.
We treat sexual and erection problems and Peyronie’s disease. We offer comprehensive STD testing for infections. We treat penile problems in men, including phimosis, balanitis, penile irritation, and penile redness. We perform a no-scalpel vasectomy, vasectomy reversal, cosmetic circumcision, circumcision revision, penile frenuloplasty. We offer confidential appointments.
Our appointment costs are affordable with or without insurance. Low-cost Viagra (sildenafil) and Cialis (tadalafil) are available to our patients. We offer free insurance verification.
Complex Penile Curvature: Treatment Options
For men who have severe erectile dysfunction, in particular when oral treatment such as tadalafil (Cialis) or sildenafil (Viagra) do not work, or penile injections are not effective or unacceptable to the patient, a penile implant is generally an optimal treatment option which can be combined with plaque excision and/or grafting.
If Peyronie’s plaque is present, intralesional plaque injections can be used to treat ventral penile curvature caused by Peyronie’s disease. Verapamil injections, as well as interferon injections, can be used for treating ventral Peyronie’s plaque. Xiaflex has not been approved for treating ventral Peyronie’s plaques. Studies show that Xiaflex appears to be a safe option for the treatment of ventral curvature.
Penile plication can be used to correct complex penile curvature if there is no significant hourglass narrowing of the penis. Penile plication can also be used in men with a more noticeable hourglass appearance but it does not correct the hourglass defect.
Evaluation of Patients with Penile Curvature
At New York Urology Specialists, we perform an artificial penile erection with Trimix or alprostadil to get an accurate measurement of the penile curvature. Many patients with moderate to severe curvature are advised penile traction therapy in combination with penile injections (verapamil, interferon, Xiaflex). Patients with severe curvature, those who do not benefit from penile injections or interested in a quick resolution of their problems may consider surgical treatment with penile plication, plaque excision with grafting, or penile implant.
Treatment Options for Ventral Penile Curvature Include:
- Oral therapy
- Intra-lesional plaque injections (verapamil, interferon)
- Penile traction therapy
- Penile plication (16 dot plication or Nesbit plication)
- Plaque incision/excision with grafting
- Penile implant
Did you know? Dr. Shteynshlyuger has performed over 1,000 penile surgeries including penile implants, correction of Peyronie’s disease, circumcisions, circumcision revisions, frenuloplasty, and congenital penile curvature. He performs 150-200 penile surgeries a year.
Read Real Stories of Men who Underwent Treatment for Peyronie’s Disease at New York Urology Specialists.
Read RealStories: 58-year-old man with penile shortening and narrowing after prostate cancer treatment treated with a penile implant and grafting.
Read RealStories: 75-year-old man with penile narrowing and curvature treated with interferon
Read RealStories: 47-year-old man with penile shortening, narrowing and curvature treated with Xiaflex and plaque excision
Cost of Treatment and Insurance
At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.
We accept many health insurance plans. We would be happy to verify your eligibility and benefits and to provide you with detailed information on your health plan’s coverage. Financing options and credit options are available to help you pay for medical care.
Why Choose New York Urology Specialists for Treatment of Peyronie’s Disease?
- All treatment is performed by a board-certified urologist experienced in treating men with symptoms of Peyronie’s disease, including penile curvature, narrowing of the penis, shortening of the penis, pain in the penis, and ED.
- We are one of the few practices in the region to offer a full range of options for the treatment of Peyronie’s disease, sexual and erection problems in men.
- We offer diagnostic testing in our office, which avoids hospital costs.
- Extensive experience: Thousands of men have been treated successfully using medical therapy (Xiaflex, Verapamil injections, Interferon), shockwave therapy for penile pain, penile plication, plaque excision and grafting, and penile implant surgery.
- Confidential and Understanding Care. We understand that most of our patients desire privacy. We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
- We offer diagnostic testing in our office, which avoids hospital costs.
- We are conveniently located within a 30-60 minute commute to men who are seeking ED treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.
What does Peyronie’s Penile Curvature Look Like?
You can find before and after treatment images in our image gallery.
Scheduling Appointments for Peyronie’s Treatment at New York Urology Specialists
If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4050.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients.
We offer affordable prices with or without insurance.
Dr. Alex Shteynshlyuger is a board-certified urologist and specialist in the treatment of sexual problems in men including Peyronie’s disease and erectile dysfunction. He is one of the few urologists who offers a full range of treatment options for Peyronie’s disease and ED. He has successfully treated thousands of men with sexual problems.
When it comes to the treatment of Peyronie’s disease – New York Urology Specialists are a step ahead. Better Science Means Better Care. Dr. Alex Shteynshlyuger is a specialist in treating erection and penis problems using the latest scientific and medical breakthroughs.
Find out our office hours or directions to our office.
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Peyronies Disease and ED Are Treatable in Nearly Every Man
At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of Peyronie’s disease and erectile dysfunction. We understand the challenges that Peyronie’s disease and ED create for our patients, their relationships, and their self-esteem. We help you find a treatment for Peyronie’s disease that fits your needs, lifestyle, and your preferences.
Urologists are doctors specializing in the treatment of men with sexual problems including Peyronie’s disease and erectile dysfunction. By virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for ED. We offer medical and surgical treatment for Peyronie’s disease and erectile dysfunction.
We Treat Some of the Most Complex Peyronie’s Problems and Men’s Health Problems Including:
- Hourglass narrowing of the penis
- Shortening of the penis and loss of penile length
- Penis curvature with worsening erections
- Peyronies disease in men with diabetes and weak erections in men with diabetes.
- Peyronie’s disease and erectile dysfunction in men with prostate cancer after radical prostatectomy
- Erectile dysfunction in men with Peyronie’s disease
- Erectile dysfunction in men for whom medications do not work.
- Premature Ejaculation
- Frequent urination
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If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4050.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients.
We offer affordable prices with or without insurance.
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