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.  We speak Spanish and Russian languages.


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. Scarring process that results in penile plaque formation also pulls on surrounding tissue, a process called ‘scar contraction.’  As a result, narrowing of the penile circumference and an indentation on the penis occurs.

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, often it is associated with Peyronie’s disease. Another cause of penile narrowing is phimosis which affects 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 erection 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 bent 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. 

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 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.

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.  We speak Spanish and Russian languages.


Peyronies 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 fit 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 the 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 ED Problems Including:

dr alex about banner large Copy 300x176 - Penile Narrowing and Indentation of Penile Shaft: Hourglass Appearance Causes and TreatmentSchedule 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 evaluation and treatment of sexual and erection problems in men using modern effective and proven treatment methods.  We offer inflatable penile implant, 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 offer affordable, highest-quality urology care with or without insurance.   Find out our office hours or directions to our office. We offer weekday, weekend, and evening office hours.