Peyronie's Disease : Surgery in Istanbul

Treated by Prof. Ateş Kadıoğlu — EAU Sexual Health Guideline Committee member, AUA Core Curriculum editor, and one of the world's most published surgeons in Peyronie's disease.

Peyronie's disease affects approximately one in nine men — causing fibrous scar tissue (plaque) to develop on the penis, resulting in a painful or curved erection that can make sexual activity difficult or impossible. For many men, it also causes significant psychological distress that extends well beyond the physical symptoms.

The condition is more common than most men — and many doctors — realise. And yet access to a truly specialist surgeon is remarkably difficult in most Western countries. At Men's Health Istanbul, patients from the United States, the United Kingdom, Europe, and the Gulf come specifically to be treated by Prof. Kadıoğlu: a surgeon who does not simply treat Peyronie's disease, but actively contributes to the international guidelines that govern how it is treated worldwide.

Prof. Kadıoğlu is a member of the EAU (European Association of Urology) Sexual & Reproductive Health Guideline Committee — the body responsible for setting the clinical standards for Peyronie's disease management across Europe and beyond. He is also the AUA Core Curriculum editor for Erectile Dysfunction and Peyronie's Disease.

What Is Peyronie's Disease?

Peyronie's disease is a disorder of wound healing in which abnormal scar tissue (plaque) forms inside the tunica albuginea — the fibrous sheath surrounding the erectile tissue of the penis.

This plaque prevents normal expansion during erection, leading to curvature, shortening, or deformities such as hourglass or hinge effects.

  • Acute phase (6–18 months): Active inflammation, pain during erection, plaque formation and progressive curvature change. This phase requires a watchful, conservative approach.
  • Chronic (stable) phase: Curvature and plaque stabilise for at least three months, pain often resolves. This is when surgical correction is considered.

Peyronie's disease is also closely associated with erectile dysfunction — either as a direct consequence of the plaque, or as a psychogenic response to the deformity. In cases where both are present, combined surgical management (curvature correction with penile implant) is often the most effective approach.

Peyronie's Disease Phases

Acute Phase Lasts 6–18 months. Pain, active inflammation, and changing curvature. Non-surgical treatments are considered.
Chronic Phase Stable curvature for 3+ months. Pain resolves. Surgery becomes the most effective option.

Surgical Treatment Options at Men's Health Istanbul

Surgery is the gold standard for Peyronie's disease in the stable phase — offering the most reliable and definitive correction of penile deformity. Prof. Kadıoğlu performs all three major surgical approaches, selecting the most appropriate technique based on each patient's specific deformity, penile length, rigidity, and goals.

Technique Best For Procedure Length Impact
Plication (TAP / Nesbit) <60° curvature Shortens longer side Mild shortening
Plaque Incision & Grafting >60°, deformities Plaque cut + graft Length preserved
Plaque Excision & Grafting Severe plaques Plaque removal Variable
Penile Prosthesis With ED Implant + correction Depends

Peyronie's Surgery Cost

Surgery in Western countries may cost $15,000–$30,000. In Istanbul, patients typically save 60–75% with all-inclusive packages.

USA$15,000 – $30,000
UK£8,000 – £20,000
Europe$8,000 – $18,000
Turkey$3,200 – $7,000

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The Istanbul Advantage: What You Get

What Men's Health Istanbul Offers Details
Consultation with Prof. Kadıoğlu Personal assessment, review of photos/imaging, surgical recommendation
All three surgical techniques available TAP, PIG, PEG — or combined with penile prosthesis
All-inclusive treatment package Surgery, anaesthesia, hospital stay, hotel, airport transfers, coordinator
Complication coverage included Standard — covers revision management if needed after return home
24/7 post-op support line Direct access to Prof. Kadıoğlu's team throughout recovery
Treatment completed in 6–7 days From consultation to flying home
Cost saving vs USA / UK Typically 60–75% lower than equivalent private surgery in Western countries

Frequently Asked Questions

Am I a candidate for Peyronie's disease surgery?

Surgery is generally recommended when your disease is in the stable (chronic) phase — meaning curvature and symptoms have not changed for at least three months, and pain has resolved. Most men are assessed with a photograph of the erect penis (taken at home) for initial evaluation.

Will surgery make my penis shorter?

Plication techniques (Nesbit/TAP) do involve a small degree of shortening — typically 0.5 to 1.5 cm. Grafting procedures (PIG/PEG) aim to preserve or restore length. Prof. Kadıoğlu will discuss expected outcomes with you in detail during consultation, based on your specific deformity.

What is the success rate of Peyronie's surgery?

For plication procedures, straightening success rates exceed 90%. For grafting procedures, the majority of patients achieve functionally straight or near-straight results. Patient satisfaction in published series is consistently high.

Can Peyronie's disease and erectile dysfunction be treated together?

Yes — and in many cases, combined surgery is the most efficient and effective approach. Prof. Kadıoğlu performs penile prosthesis placement with simultaneous Peyronie's correction (intraoperative modelling or grafting) in a single procedure.

How do I start the process?

Contact Men's Health Istanbul via WhatsApp, email, or the online form. Send a brief medical history and, if possible, a photograph showing your curvature. Our team will respond within a few hours with an initial assessment and next steps.

Peyronie's Disease Surgery: Your Options Explained

A plain-language guide to the three surgical approaches used at Men's Health Istanbul — written to help you understand your options before your consultation with Prof. Kadıoğlu.

When Peyronie's disease has reached the stable phase and conservative treatments have not provided adequate relief, surgery offers the most reliable path to correcting penile curvature.

The right surgical approach depends on several factors: the degree of your curvature, whether an hourglass or hinge deformity is present, your erectile function, your penile length, and your priorities for the outcome.

How the Decision Is Made

There is no single "best" operation for Peyronie's disease. Prof. Kadıoğlu's surgical selection follows the AUA and EAU guideline algorithm — the same framework he has contributed to as committee member and editor:

  • Curvature under 60°, adequate rigidity, no hourglass/hinge: Plication (TAP / Nesbit)
  • Curvature over 60°, hourglass or hinge deformity: Plaque Incision and Grafting (PIG / PEG)
  • Any curvature with erectile dysfunction: Penile prosthesis with straightening

The evaluation process includes a review of your photographs, stretched penile length measurement, and assessment of your erectile function. For international patients, this can begin remotely before you travel.

What Is Peyronie's Disease?

Peyronie's disease is a disorder of wound healing in which fibrous scar tissue (plaque) forms inside the tunica albuginea — the fibrous sheath surrounding the erectile tissue.

This plaque does not stretch normally, causing curvature, shortening, narrowing, or hourglass deformity.

  • Penile curvature
  • Shortening
  • Indentation (hourglass)
  • Pain during erection

Option 1: Plication (TAP / Nesbit)

Plication corrects curvature by shortening the longer side of the penis, restoring symmetry.

Best For

  • Curvature less than 60°
  • Good erectile function
  • No hourglass deformity
  • Accepts slight shortening
Operation time60–90 minutes
AnaesthesiaGeneral / spinal
Hospital stay1 night
Length effect0.5–1.5 cm shortening
Success rate90%+
Recovery6–8 weeks

Option 2: Plaque Incision & Grafting

The plaque is incised or removed, and the defect is filled with graft material to restore shape and length.

Best For

  • Curvature over 60°
  • Hourglass deformity
  • Good rigidity
  • Length preservation

Graft Materials

  • Tutoplast
  • Pelvicoll
  • Biological grafts
Operation time90–150 minutes
AnaesthesiaGeneral
Hospital stay1–2 nights
Length effectPreserved / improved
Success rate85–95%
Recovery8–12 weeks

Option 3: Penile Prosthesis

For patients with erectile dysfunction, a penile implant provides rigidity while correcting curvature in the same procedure.

Best For

  • Peyronie's + erectile dysfunction
  • Failed medical treatments
  • Combined correction needed

This approach treats both curvature and erectile dysfunction in a single operation.

ImplantsColoplast Titan / AMS 700
CorrectionManual modelling / grafting
Operation90–120 minutes
Infection rate<0.5%
Recovery6–8 weeks

Peyronie's Disease Surgery Cost: Turkey vs USA vs Europe

A transparent, complete guide to what Peyronie's disease surgery actually costs — and why Istanbul offers world-class treatment at a fraction of the Western price.

One of the first questions men ask is simple: how much does it cost? The reality is that pricing is often incomplete or unclear. Many clinics quote only the surgical fee, excluding hospital stay, anaesthesia, or post-operative care.

This guide gives you the full picture — including a transparent breakdown of what is included in the Men's Health Istanbul package.

What Peyronie's Surgery Costs by Country

Country Typical Cost State Option Not Included
United States $15,000 – $30,000 Not covered Anaesthesia, follow-up often extra
United Kingdom £8,000 – £20,000 2–3 year NHS wait Hotel, travel
Germany $10,000 – $18,000 Partial coverage Hotel, travel
France / Spain $8,000 – $15,000 Variable Hotel, travel
Turkey (average) $3,200 – $7,000 N/A Varies
Men's Health Istanbul All-inclusive N/A Nothing hidden

Patients typically save 60–75% compared to surgery in the US or Europe.

What Is Included in the Package?

Unlike many clinics, this package is fully comprehensive — no hidden costs.

Consultation Assessment with Prof. Kadıoğlu
Pre-op tests All hospital tests included
Surgery TAP / Grafting / Implant
Anaesthesia General or spinal
Hospital stay 1–2 nights
Graft material Included if needed
Medication Full post-op care kit
Hotel 5-star accommodation
Transfers VIP airport + hospital
Coordinator Dedicated support
Support 24/7 post-op line

Why Is Surgery Cheaper in Turkey?

  • Lower operational costs — hospitals and staff cost less
  • No insurance inflation — pricing is direct to patient
  • Medical tourism investment — competitive healthcare system

The surgical techniques, materials, and standards are identical to those used in the US or Europe. The difference is cost structure — not quality.

Does Procedure Type Affect Cost?

Procedure Complexity Time Price Effect
Plication (TAP) Standard 60–90 min Base price
Grafting (PIG / PEG) Moderate–High 90–150 min Slightly higher
Implant + correction High 90–120 min Higher

Get a Personal Quote

Every case is different. Send your medical history and photos to receive a personalised assessment.

Our team responds within a few hours — with a transparent, no-obligation quote.

Get Free Consultation

Peyronie's Disease: Non-Surgical Treatment Options

An evidence-based overview of conservative treatments — and when surgery becomes the more effective option.

Non-surgical treatments can play a role in certain patients, particularly during the early phase of the disease. However, they are not a cure and do not reliably straighten the penis.

This guide explains what works, what doesn't, and when each option is appropriate.

Option 1: Penile Traction Therapy (PTT)

The most evidence-supported non-surgical treatment. Works by applying controlled mechanical stretching to promote tissue remodelling.

What It Can Do

  • Reduce curvature (20–30%)
  • Improve length (1.5–2.3 cm)
  • Prevent shortening

Limitations

Does not provide definitive straightening like surgery.

Best forAcute phase, mild curvature
Daily use30–90 minutes
EvidenceModerate–strong
GuidelinesRecommended (EAU)

Option 2: PRP Injections

PRP uses growth factors from your own blood injected into the plaque to promote healing.

What It Can Do

  • Reduce curvature moderately
  • Improve tissue healing

Limitations

Still emerging — not yet guideline-standard.

Best forAcute phase, mild–moderate cases
Sessions3–6 sessions
EvidenceEmerging
GuidelinesNot standard yet

Option 3: Shockwave Therapy

Uses acoustic waves to reduce inflammation and pain.

What It Can Do

  • Reduce pain in acute phase

Limitations

Does not significantly correct curvature.

Option 4: Oral Medications

Vitamins and medications have been widely used historically.

However, current guidelines do not recommend oral treatments due to lack of consistent evidence.

Option 5: Collagenase (Xiapex / Xiaflex)

Breaks down plaque collagen and reduces curvature.

Effective in clinical trials but currently not available in Europe.

Non-Surgical Treatment Options

Non-surgical treatments may help during the early phase, but they do not reliably correct established curvature.

  • Penile traction therapy
  • PRP injections
  • Shockwave therapy

Explore non-surgical treatments →

Peyronie's Disease & Erectile Dysfunction

When Peyronie's disease is combined with erectile dysfunction, penile prosthesis with simultaneous correction offers the most effective solution.

Learn about combined surgery →

When Surgery Becomes the Right Choice

  • Stable curvature (3+ months)
  • Curvature over 45–60°
  • Severe deformity (hourglass / hinge)
  • Erectile dysfunction
  • Failed non-surgical treatments

Surgery provides the most reliable correction in these cases.

Not Sure Which Treatment Is Right?

Send your photos and medical history for a personalised recommendation.

Get Free Assessment

Peyronie's Disease and Penile Implant: The Combined Surgery

For men with both Peyronie's disease and erectile dysfunction, a single operation can treat both conditions simultaneously.

Combined surgery eliminates the need for two procedures and provides a more efficient recovery with better overall outcomes.

This is one of the most technically demanding procedures in andrological surgery — performed by experienced specialists like Prof. Kadıoğlu.

How the Combined Procedure Works

Approach When Used What Is Done
Manual Modelling Mild–moderate curvature Implant is placed and penis is manually straightened
Modelling + Grafting Severe curvature Plaque is incised and graft placed

Non-touch technique is used to reduce infection risk below 0.5%.

Which Implant Is Used?

Device Why Used Key Feature
Coloplast Titan Better for grafting cases Narrow structure, strong rigidity
AMS 700 LGX Length restoration Expands in length and girth

Expected Outcomes

  • High straightening success
  • Reliable erectile function
  • 90%+ patient satisfaction
  • Single recovery period (6–8 weeks)

What Is Included

ConsultationFull assessment
TestsAll pre-op tests included
SurgeryImplant + correction
ImplantColoplast Titan / AMS 700
Hospital1–2 nights
MedicationFull post-op care
Hotel5-star stay
TransfersVIP included
Support24/7 assistance

Frequently Asked Questions

Can you diagnose from photos?

In many cases, yes. Photos and medical history allow initial assessment.

Is combined surgery riskier?

Slightly longer operation, but infection risk remains under 0.5%.

What if only one issue is solved?

Final correction is determined during surgery for best outcome.

How do I start?

Contact via WhatsApp or form with photos and history.

Start Your Assessment

Send your photos and medical history to receive a personalised recommendation.

Get Free Consultation

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