What Is Hourglass Peyronie’s Disease

Peyronie’s disease is a condition that affects the penis, causing curvature and potential complications during erections. In some cases, individuals experience an hourglass deformity, a specific manifestation of Peyronie’s disease. In this article, we will look at  the intricacies of hourglass Peyronie’s disease, understanding it’s causes, symptoms, diagnosis, and available treatments.

Overview of Hourglass Peyronie’s Disease

Peyronie’s disease is a connective tissue disorder that involves the development of fibrous scar tissue, or plaques, within the penis. These plaques can lead to curvature, pain, and difficulties in achieving or maintaining an erection.

Hourglass Peyronie’s disease is a specific form characterized by an hourglass-like narrowing of the penis, often associated with the presence of fibrous plaques.

Causes and Risk Factors

  1. Trauma and Micro-Injuries: The leading cause of Peyronie’s disease is believed to be trauma or micro-injuries to the penis. These injuries can occur during sexual activity, sports, or other physical activities.
  2. Genetic Predisposition: Some individuals may have a genetic predisposition to developing Peyronie’s disease. Genetic factors may influence how the body responds to injury and repairs tissue.
  3. Age and Health Conditions: Age is a factor, with Peyronie’s disease more commonly affecting men between 40 and 60. Certain health conditions, such as Dupuytren’s contracture, may increase the risk.

Symptoms of hourglass peyronie’s disease

  1. Penile Curvature: One of the primary symptoms is the development of curvature in the penis during erections. The curvature may be upward, downward, or, in the case of hourglass Peyronie’s, exhibit an hourglass-like narrowing.
  2. Pain During Erection: Many individuals with Peyronie’s disease experience pain or discomfort during erections. The pain may be localized to the area with the fibrous plaque.
  3. Erectile Dysfunction: Erectile dysfunction can occur as a result of the fibrous plaques interfering with the normal expansion of the penis during an erection.
  4. Changes in Penis Shape: Hourglass Peyronie’s disease specifically involves a noticeable narrowing of the penis, resembling the shape of an hourglass during erections.


  1. Physical Examination: A healthcare provider may perform a physical examination to assess the curvature and feel for fibrous plaques in the penis.
  2. Medical History: Gathering a comprehensive medical history, including any history of trauma or genetic factors, is important in diagnosing Peyronie’s disease.
  3. Imaging Studies: Imaging studies, such as ultrasound, may be used to visualize the plaques and assess their impact on penile structure.

Treatment Options

  1. Watchful Waiting: In some cases, especially if the symptoms are mild, a healthcare provider may recommend watchful waiting without immediate intervention.
  2. Medications: Medications, such as collagenase injections or oral treatments like pentoxifylline, may be prescribed to manage symptoms and potentially reduce plaque size.
  3. Penile Traction Devices: Traction devices may be recommended to gently stretch the penis and reduce curvature over time.
  4. Surgery: Surgical options, including plaque incision or grafting procedures, may be considered for more severe cases or when conservative measures are ineffective.
  5. Shockwave Therapy: Extracorporeal shockwave therapy (ESWT) is a non-invasive option that uses low-intensity shockwaves to promote tissue healing and reduce plaque size.


Frequently Asked Questions

Can Peyronie’s Disease be Prevented?

While it may not be entirely preventable, avoiding trauma to the penis and practicing safe sexual habits may reduce the risk.

Is Hourglass Peyronie’s Disease More Severe Than Other Forms?

The severity of Peyronie’s disease varies among individuals. Hourglass Peyronie’s is a specific presentation, and the impact on an individual’s life depends on the extent of curvature and associated symptoms.

How Does Hourglass Peyronie’s Affect Sexual Function?

Hourglass Peyronie’s may impact sexual function by causing pain during erections and potential difficulties in achieving or maintaining an erection.

Are There Non-Surgical Options for Treating Peyronie’s Disease?

Yes, non-surgical options include medications, traction devices, and shockwave therapy. The choice of treatment depends on the severity of symptoms and individual factors.

Can Peyronie’s Disease Resolve on It’s Own?

In some cases, especially in mild presentations, Peyronie’s disease may resolve on it’s own without specific intervention. However, this is not guaranteed, and seeking medical advice is essential.

Is Peyronie’s Disease Linked to Cancer?

Peyronie’s disease itself is not linked to cancer. However, individuals with Peyronie’s disease may have an increased risk of certain cancers, emphasizing the importance of regular health check-ups.


Hourglass Peyronie’s disease is a unique manifestation of a condition that can significantly impact the lives of affected individuals. Understanding the causes, symptoms, and available treatments empowers individuals to make informed decisions about their health. Seeking prompt medical attention and exploring various treatment options can contribute to managing symptoms and improving the quality of life for those affected by this condition.