Identifying the end of the inflammatory phase is relevant in evaluating the appropriate timing for possible surgical reconstruction. The decision should be based on clinical criteria and on each patient’s individual situation.
Anxiety associated with the desire to treat penile curvature quickly is understandable, since this condition may affect sexual function, self-image, and well-being. However, from a clinical point of view, the timing of intervention must respect the evolution of the disease.
There is a right time for Peyronie surgery. Timing should be guided by rigorous medical criteria, according to the stage of evolution and the therapeutic strategy considered most appropriate for each patient.
Transition from the acute phase to the chronic phase: How can it be identified?
The transition of Peyronie’s disease generally occurs between 6 and 18 months after symptom onset, depending on the body’s individual response.
The end of pain during erections
The absence of pain during erection may be one of the indicators of reduced inflammatory activity in the tunica albuginea, suggesting transition to a phase of greater curvature stability.
Stabilization of the deformity
This phase is defined by the absence of progression of penile curvature, reflecting clinical stabilization of the condition.
For this criterion to be clinically valued, it is important to monitor evolution for an approximate period of six months, in order to verify that there are no relevant changes in the deformity.
Consolidation of the fibrotic plaque
Over time, the fibrotic plaque may acquire characteristics of greater stability, identifiable on physical examination and penile ultrasound. These findings may be relevant in defining the therapeutic approach.
Would you like a professional evaluation of the stability of your condition? Start your pre-assessment with Egydio Medical Center here.
Why may the chronic phase be the most appropriate time for intervention?
In many cases, the chronic phase may represent the most appropriate time to consider surgery, as it is associated with greater clinical stability of the deformity.
Prevention of recurrence and new curvatures
The European Association of Urology Guidelines (EAU 2024) warn that performing surgical procedures during the active (acute) phase is associated with a significant increase in the risk of failure, progression of the deformity, and recurrence of curvature, due to instability of the tunica albuginea.
Tissue expansion planning
The stability of the fibrotic plaque may favor surgical planning and the possible use of tissue expansion techniques, with the aim of preserving or improving, when clinically possible, anatomical and functional aspects.
Safety and predictability
Urological literature highlights the importance of choosing the right surgical timing and properly evaluating the case, since these factors may influence functional outcomes and postoperative evolution.
What to expect from the postoperative period and clinical follow-up
2025 rehabilitation protocols
It is important that the patient follows the postoperative rehabilitation guidance defined by the clinical team, according to the therapeutic goals and the evolution of the case.
Postoperative guidance may include complementary measures and, when clinically indicated, the use of medication or other supportive approaches, according to medical evaluation.
Recovery timeline in Lisbon
Surgery for Peyronie’s disease using the expansion technique lasts, on average, around two hours. Admission usually takes place in the morning, with discharge on the same day.
Recovery follows a progressive timeline, adjusted to each patient’s individual response.
In the first few days, some discomfort is expected, usually controlled with analgesics, and rest and maintenance of the surgical dressing are recommended.
Around 7 days after surgery, the patient may resume light daily activities.
More intense physical activities are generally allowed from 21 days onward, provided that clinical evolution is favorable.
However, complete recovery may extend up to 60 days, when sexual activity may be resumed after medical evaluation and authorization.
Personalized follow-up
During the recovery period after Peyronie surgery, the patient should undergo regular follow-up with the clinical team.
This follow-up allows early detection of possible complications, adequate pain control, and proper healing. The team may also guide the man regarding the use of a penile implant.
The team’s availability to clarify doubts may contribute to greater peace of mind during the recovery process and to a better understanding of clinical guidance.
The path toward recovery of sexual function
Peyronie’s disease requires appropriate clinical follow-up and adherence to medical guidance. Following recommended care throughout the evolution of the disease may influence the therapeutic approach and the functional evolution of the case.
It is natural to feel some anxiety as the disease evolves, but the decision regarding the timing of possible surgery must respect clinical criteria. A premature intervention may be associated with worse functional outcomes.
Your quality of life depends on a technical and precise decision. If your curvature has stabilized, our team in Lisbon is ready to help you. Contact Egydio Medical Center and schedule your consultation.