{"id":10341,"date":"2026-05-18T07:50:51","date_gmt":"2026-05-18T00:50:51","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?page_id=10341"},"modified":"2026-07-25T00:01:59","modified_gmt":"2026-07-24T17:01:59","slug":"peyronies-disease-treatment","status":"publish","type":"page","link":"https:\/\/drsoaraweeurology.com\/km\/services\/peyronies-disease-treatment\/","title":{"rendered":"Peyronie&#8217;s Disease Treatment in Bangkok"},"content":{"rendered":"<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:42px;font-weight:600\">Peyronie&#8217;s Disease Treatment in Bangkok<\/h2>\n<p class=\"has-text-align-center\" style=\"font-size:18px\">Comprehensive medical and surgical management of Peyronie&#8217;s disease (penile curvature) \u2014 from collagenase injections and traction therapy to penile plication and grafting surgery \u2014 at Bangkok Hospital Headquarters.<\/p>\n<p class=\"has-text-align-center\"><em>Medically reviewed by Dr. Soarawee Weerasopone, MD \u2014 Board-Certified Urologist \u00b7 Research Scholar &#038; Clinical Observer, Scott Department of Urology, Baylor College of Medicine<\/em><\/p>\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button\" style=\"background-color:#c8102e\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Book a Confidential Consultation<\/a><\/div>\n<\/div>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">What Is Peyronie&#8217;s Disease?<\/h2>\n<p>Peyronie&#8217;s disease is a connective tissue disorder characterized by the formation of fibrous scar tissue (plaque) within the tunica albuginea of the penis. This plaque causes <strong>abnormal penile curvature<\/strong>, often with pain, shortening, narrowing, or erectile dysfunction. It affects an estimated <strong>3\u20139% of men<\/strong>, with peak incidence in the 50s and 60s.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Two Clinical Phases<\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>Acute (Active) Phase<\/strong> \u2014 first 6\u201318 months. Characterized by pain with erection, progressive deformity, and ongoing plaque formation. Best window for medical therapy.<\/li>\n<li><strong>Chronic (Stable) Phase<\/strong> \u2014 after 12\u201318 months. Plaque calcifies, curvature stabilizes, pain typically resolves. Surgical correction becomes the primary option.<\/li>\n<\/ul>\n<p>Identifying which phase you are in determines the entire treatment plan and its timing. <a href=\"https:\/\/drsoaraweeurology.com\/2021\/05\/21\/peyronies-disease\/\">Read the full overview of Peyronie&#8217;s disease<\/a>, including risk factors such as diabetes, low testosterone, and Dupuytren&#8217;s contracture.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Symptoms<\/h3>\n<ul class=\"wp-block-list\">\n<li>Visible penile curvature (upward, downward, or lateral)<\/li>\n<li>Palpable hard nodule or plaque along the shaft<\/li>\n<li>Pain during erection (acute phase)<\/li>\n<li>Penile shortening or narrowing (&#8220;hourglass&#8221; deformity)<\/li>\n<li>Erectile dysfunction \u2014 occurring in 30\u201380% of Peyronie&#8217;s patients<\/li>\n<li>Psychological distress, relationship difficulties<\/li>\n<\/ul>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group has-background is-layout-constrained wp-block-group-is-layout-constrained\" style=\"background-color:#1a2e5a;padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center has-white-color has-text-color\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">Diagnostic Evaluation<\/h2>\n<p class=\"has-text-align-center has-white-color has-text-color\">Accurate staging is critical \u2014 the right treatment depends on disease phase and severity.<\/p>\n<ul class=\"wp-block-list has-white-color has-text-color\">\n<li><strong>Detailed history<\/strong> \u2014 onset, progression, pain, sexual function impact<\/li>\n<li><strong>Physical examination<\/strong> \u2014 plaque palpation and mapping<\/li>\n<li><strong>Photographic curvature assessment<\/strong> with at-home erection photos or in-clinic ICI-induced erection<\/li>\n<li><strong>Penile Duplex Ultrasound<\/strong> \u2014 plaque measurement, vascular assessment, exclusion of concurrent <a href=\"https:\/\/drsoaraweeurology.com\/services\/erectile-dysfunction-bangkok\/\" style=\"color:#c9a84c\">erectile dysfunction<\/a><\/li>\n<li><strong>Standardized questionnaires<\/strong> \u2014 PDQ (Peyronie&#8217;s Disease Questionnaire), IIEF-5<\/li>\n<\/ul>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">Treatment Options<\/h2>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Acute Phase \u2014 Medical Therapy<\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>Oral therapy<\/strong> \u2014 Pentoxifylline, L-Carnitine, Vitamin E (limited evidence but widely used)<\/li>\n<li><strong>Intralesional Collagenase Clostridium Histolyticum (CCH \/ Xiaflex)<\/strong> \u2014 FDA-approved injectable treatment that breaks down collagen in the plaque. Studies show 30\u201340% improvement in curvature. <strong>At Bangkok Hospital Headquarters, Xiaflex is available by special order only<\/strong> \u2014 it must be arranged and purchased in advance through the hospital pharmacy, and the cost is substantial. Please raise it early in your consultation so that timing and cost can be planned properly.<\/li>\n<li><strong>Intralesional Verapamil<\/strong> \u2014 alternative injectable option for select patients<\/li>\n<li><strong>Penile Traction Therapy<\/strong> \u2014 mechanical devices used 2\u20138 hours daily; particularly effective combined with injections<\/li>\n<li><strong><a href=\"https:\/\/drsoaraweeurology.com\/2023\/03\/25\/extracorporeal-shockwave-therapy\/\">Low-Intensity Shockwave Therapy<\/a><\/strong> \u2014 reduces plaque pain, less effective on curvature itself<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Chronic Phase \u2014 Surgical Options<\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>Penile Plication<\/strong> \u2014 minimally invasive correction of curvature by shortening the convex (opposite) side. Best for curvature less than 60\u00b0 with adequate penile length and good erectile function.<\/li>\n<li><strong>Plaque Excision\/Incision and Grafting<\/strong> \u2014 the plaque is excised or incised, and the defect is repaired with a graft (porcine SIS, dermal, or synthetic). Preferred for severe curvature, hourglass deformity, or short penile length.<\/li>\n<li><strong>Penile Prosthesis with Modeling<\/strong> \u2014 for patients with both severe Peyronie&#8217;s disease and refractory erectile dysfunction. Provides definitive correction of curvature and ED in one procedure. <a href=\"https:\/\/drsoaraweeurology.com\/services\/penile-prosthesis-bangkok\/\">Learn more about IPP \u2192<\/a><\/li>\n<\/ul>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group has-background is-layout-constrained wp-block-group-is-layout-constrained\" style=\"background-color:#f5f7fa;padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:32px;font-weight:600\">Why Choose Dr. Soarawee for Peyronie&#8217;s Treatment<\/h2>\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<ul class=\"wp-block-list\">\n<li><strong>\ud83c\udf93 Observership at Baylor College of Medicine<\/strong> under Prof. Mohit Khera \u2014 a world authority on Peyronie&#8217;s disease management<\/li>\n<li><strong>\ud83c\udf10 Familiar with global treatment protocols<\/strong> including Xiaflex (CCH) injection therapy and modern grafting techniques<\/li>\n<li><strong>\ud83d\udd2c Penile Duplex Ultrasound expertise<\/strong> \u2014 essential for accurate plaque mapping and pre-surgical planning<\/li>\n<li><strong>\ud83c\udfe5 Bangkok Hospital Headquarters<\/strong> \u2014 internationally accredited surgical facility<\/li>\n<li><strong>\ud83d\udd12 Complete discretion<\/strong> \u2014 confidential consultation in a stigma-free environment<\/li>\n<li><strong>\ud83d\udcca Comprehensive approach<\/strong> \u2014 evaluating concurrent ED and treating both conditions in coordinated care<\/li>\n<\/ul>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">Frequently Asked Questions<\/h2>\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q1: What causes Peyronie&#8217;s disease?<\/h3>\n<p>The exact cause is unclear, but most cases follow repetitive microtrauma during sexual activity in genetically susceptible men. Risk factors include diabetes, connective tissue disorders (Dupuytren&#8217;s contracture), prostate surgery, and aging. It is not caused by sexually transmitted infection.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q2: Can Peyronie&#8217;s disease resolve on its own?<\/h3>\n<p>Spontaneous improvement occurs in less than 15% of cases, and complete resolution is rare. Most cases stabilize or progress without treatment. Early intervention during the acute phase offers the best chance of preventing severe deformity.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q3: How effective is Xiaflex (collagenase) injection therapy?<\/h3>\n<p>The IMPRESS trials demonstrated approximately 30\u201340% improvement in curvature with a structured 4-cycle injection regimen. It is most effective for stable curvature between 30\u00b0 and 90\u00b0 without hourglass deformity. Results vary by patient. Please note that Xiaflex is supplied at Bangkok Hospital Headquarters by advance special order through the hospital pharmacy and is expensive, so it should be discussed and arranged well before your treatment dates.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q4: When is surgery recommended for Peyronie&#8217;s disease?<\/h3>\n<p>Surgery is considered when the disease has stabilized (typically after 12 months), curvature is significant (greater than 30\u00b0), there is functional impairment of intercourse, and the patient has not responded to or declined medical therapy. The choice of procedure depends on the severity and the patient&#8217;s erectile function.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q5: Will surgery shorten the penis?<\/h3>\n<p>Penile plication procedures may result in some shortening, typically less than 1\u20132 cm. Grafting procedures preserve length but carry a higher risk of postoperative erectile dysfunction. The choice involves balancing these trade-offs, which is discussed thoroughly during consultation.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q6: Is Peyronie&#8217;s surgery permanent?<\/h3>\n<p>Yes, surgical correction provides lasting results in the vast majority of patients. Recurrence is uncommon when surgery is performed during the stable phase. Penile prosthesis with modeling provides definitive correction for patients with concurrent severe ED.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q7: How long is recovery after Peyronie&#8217;s surgery?<\/h3>\n<p>Most patients return to non-strenuous activity within 1\u20132 weeks. Sexual activity is typically restricted for 6\u20138 weeks postoperatively to allow complete healing. Full results are evident at 3\u20136 months. International patients can return home within 7\u201310 days of surgery.<\/p>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:34px;font-weight:600\">Book Your Confidential Consultation<\/h2>\n<p class=\"has-text-align-center\">Don&#8217;t let Peyronie&#8217;s disease define your quality of life. Effective treatment is available.<br \/>All consultations conducted with complete discretion and privacy.<\/p>\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok Hospital \u2014 Online Booking<\/a><\/div>\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link wp-element-button\" href=\"tel:088-022-1445\">Samitivej Sriracha \u2014 Call 088-022-1445<\/a><\/div>\n<\/div>\n<\/div>\n<script type=\"application\/ld+json\">\r\n{\r\n  \"@context\": \"https:\/\/schema.org\",\r\n  \"@graph\": [\r\n    {\r\n      \"@type\": \"Physician\",\r\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/about\/#physician\",\r\n      \"name\": \"Dr. Soarawee Weerasopone\",\r\n      \"alternateName\": \"Dr. Pom\",\r\n      \"url\": \"https:\/\/drsoaraweeurology.com\/about\/\",\r\n      \"image\": \"https:\/\/drsoaraweeurology.com\/wp-content\/uploads\/2025\/12\/IMG_7640.jpg\",\r\n      \"medicalSpecialty\": [\"Urology\", \"Men's Health\", \"Sexual Medicine\"],\r\n      \"worksFor\": {\r\n        \"@type\": \"Hospital\",\r\n        \"name\": \"Bangkok Hospital Headquarters\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"MedicalCondition\",\r\n      \"name\": \"Peyronie's Disease\",\r\n      \"alternateName\": [\"Penile Curvature\", \"Induratio Penis Plastica\"],\r\n      \"url\": \"https:\/\/drsoaraweeurology.com\/services\/peyronies-disease-treatment\/\",\r\n      \"code\": {\r\n        \"@type\": \"MedicalCode\",\r\n        \"code\": \"N48.6\",\r\n        \"codingSystem\": \"ICD-10\"\r\n      },\r\n      \"associatedAnatomy\": {\r\n        \"@type\": \"AnatomicalStructure\",\r\n        \"name\": \"Tunica Albuginea of the Penis\"\r\n      },\r\n      \"signOrSymptom\": [\r\n        { \"@type\": \"MedicalSignOrSymptom\", \"name\": \"Penile curvature\" },\r\n        { \"@type\": \"MedicalSignOrSymptom\", \"name\": \"Palpable penile plaque\" },\r\n        { \"@type\": \"MedicalSignOrSymptom\", \"name\": \"Painful erection\" },\r\n        { \"@type\": \"MedicalSignOrSymptom\", \"name\": \"Penile shortening\" },\r\n        { \"@type\": \"MedicalSignOrSymptom\", \"name\": \"Erectile dysfunction\" }\r\n      ],\r\n      \"riskFactor\": [\r\n        { \"@type\": \"MedicalRiskFactor\", \"name\": \"Diabetes mellitus\" },\r\n        { \"@type\": \"MedicalRiskFactor\", \"name\": \"Dupuytren's contracture\" },\r\n        { \"@type\": \"MedicalRiskFactor\", \"name\": \"Prior prostate surgery\" },\r\n        { \"@type\": \"MedicalRiskFactor\", \"name\": \"Penile microtrauma\" }\r\n      ],\r\n      \"possibleTreatment\": [\r\n        { \"@type\": \"MedicalTherapy\", \"name\": \"Collagenase Clostridium Histolyticum (Xiaflex) Injection\" },\r\n        { \"@type\": \"MedicalTherapy\", \"name\": \"Intralesional Verapamil\" },\r\n        { \"@type\": \"MedicalTherapy\", \"name\": \"Penile Traction Therapy\" },\r\n        { \"@type\": \"MedicalProcedure\", \"name\": \"Penile Plication Surgery\" },\r\n        { \"@type\": \"MedicalProcedure\", \"name\": \"Plaque Excision and Grafting\" }\r\n      ],\r\n      \"recognizingAuthority\": {\r\n        \"@id\": \"https:\/\/drsoaraweeurology.com\/about\/#physician\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"FAQPage\",\r\n      \"mainEntity\": [\r\n        {\r\n          \"@type\": \"Question\",\r\n          \"name\": \"What causes Peyronie's disease?\",\r\n          \"acceptedAnswer\": {\r\n            \"@type\": \"Answer\",\r\n            \"text\": \"The exact cause is unclear, but most cases follow repetitive microtrauma during sexual activity in genetically susceptible men. 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International patients can return home within 7\u201310 days of surgery.\"\r\n          }\r\n        }\r\n      ]\r\n    }\r\n  ]\r\n}\r\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Peyronie&#8217;s Disease Treatment in Bangkok Comprehensive medical and surgical management of Peyronie&#8217;s disease (penile curvature) \u2014 from collagenase injections and traction therapy to penile plication and grafting surgery \u2014 at Bangkok Hospital Headquarters. Medically reviewed by Dr. Soarawee Weerasopone, MD \u2014 Board-Certified Urologist \u00b7 Research Scholar &#038; Clinical Observer, Scott Department of Urology, Baylor College [&hellip;]<\/p>\n","protected":false},"author":185281453,"featured_media":10877,"parent":10357,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"advanced_seo_description":"Treatment for penile curvature in Bangkok \u2014 Xiaflex injections, traction, plication, and grafting surgery. Board-certified urologist, research scholar at Baylor. Book confidential consultation.","jetpack_seo_html_title":"Peyronie's Disease Treatment Bangkok | Dr. Soarawee","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_wpcom_ai_launchpad_about_page":false,"_wpcom_ai_launchpad_gallery_page":false,"_wpcom_ai_launchpad_contact_page":false,"_wpcom_ai_launchpad_events_page":false,"_wpcom_ai_launchpad_video_page":false,"_wpcom_ai_launchpad_portfolio_piece":false,"footnotes":""},"class_list":["post-10341","page","type-page","status-publish","has-post-thumbnail","hentry"],"jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/PgZdrK-2GN","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/pages\/10341","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/comments?post=10341"}],"version-history":[{"count":7,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/pages\/10341\/revisions"}],"predecessor-version":[{"id":11018,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/pages\/10341\/revisions\/11018"}],"up":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/pages\/10357"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/media\/10877"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/km\/wp-json\/wp\/v2\/media?parent=10341"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}