Penile Narrowing “Waist” or “Hourglass Appearance” of Peyronie’s Disease

by Alex Shteynshlyuger MD


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.


Hourglass Deformity of the Penis or “Penile Narrowing”

A narrowing of the penis (penile shaft) can occur either on one side of the penis or circumferentially (less common).  Narrowing of the penis has also been described as a narrow “waist” or hourglass deformity of the penis.

A common symptom associated with thinning and narrowing of the penis is a poor-quality erection. Typically, the area just before or after the narrowing does not get sufficiently hard when erect, with noticeable softness in the penis.

Peyronie's treatmentTreatment of Penile Narrowing

Penile narrowing ‘hourglass appearance’ associated with Peyronie’s disease is one of the most challenging symptoms of Peyronie’s to treat.

While it may respond to injectable therapy, typically the treatment of severe narrowing would require excision and grafting of the plaque, often combined with insertion of a penile prosthesis.   Dr. Alex Shteynshlyuger is an experienced surgeon who treats men with narrowing of the penis caused by Peyronie’s disease.

What is the Cause of Penile Narrowing?

The penile narrowing is caused by scar formation in the penis. This scar is called “Peyronie’s plaque” when it can be felt. The scarring process that results in penile plaque formation also pulls on the surrounding tissue, a process called ‘scar contraction.’  As a result, narrowing of the penile circumference and an indentation on the penis occur.

Penile Narrowing without Curvature – Is it Peyronie’s?

Some men only have penile narrowing and no visible curvature. This can occur early in the disease process, and often, but not always, curvature will develop within a few months.  Often, men can feel a lump in the penis where the narrowing or hourglass appearance is.  

Some men with poor erections may not notice much curvature because often a very strong erection is necessary to fully visualize the curvature that is present.

Usually, when there is smoke, there is fire.  Similarly, when there is penile narrowing, it is often associated with Peyronie’s disease. Another cause of penile narrowing is phimosis, which affects the penile skin. Phimosis is easily diagnosed by a visual inspection.

Penile Hourglass Deformity and Erection Softness

Indentation of the penis, causing narrowing of the penis, is often associated with loss of erectile hardness.  This apparently is caused by scar affecting blood vessels and blood flow in the penis.  Erectile dysfunction is a common symptom associated with Peyronie’s disease.

Penile Instability when Penis is Erect as a Result of Penile Narrowing.

When penile narrowing is significant and circumferential, it often causes the penis to bend severely when erect during penetration.  When penis instability occurs with erections, usually surgical treatment is the preferred treatment option to correct symptoms of Peyronie’s disease. 

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.

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 Peyronie’s disease, erection problems, and sexual problems.  We offer comprehensive testing for infections.  We treat penile problems in men, including phimosis, balanitis, penile irritation, and penile redness. We perform cosmetic circumcision, circumcision revision, and penile frenuloplasty. We offer confidential appointments.

Our appointment costs are affordable with or without insuranceLow-cost medications are available to our patients.  We offer free insurance verification.

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: 63-year-old man with Peyronies and ED treated with Peyronie’s plaque injections.

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 Peyronie’s plaque injections 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 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 (Peyronie’s plaque injections), 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 offer a full range of treatment options for Peyronie’s disease and ED.  He has successfully treated thousands of men with sexual problems.

Find out our office hours or directions to our office


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Peyronie’s Disease and ED Are Treatable in Nearly Every Man

Excellence-Urology_Care-banner2At 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 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:

Schedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-646-663-4050 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship-trained, board-certified urologist with expertise in the evaluation and treatment of Peyronie’s disease and erection problems in men using modern, effective, and proven treatment methods.  We offer inflatable penile implants, shockwave therapy for ED, and treatment for Peyronie’s disease.

He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.


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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