When it comes to men's health, there are still conditions that are rarely spoken about, even within families. One such condition is Peyronie's disease -- a disorder that can significantly affect both physical health and emotional well-being but often goes unrecognised due to embarrassment or lack of awareness.

As a urologist, I often meet men who have silently lived with the symptoms for months, sometimes years, before finally seeking help. By this time, the disease has often progressed, impacting not only their sexual health but also their confidence, relationships, and quality of life.

Breaking the taboo around men's reproductive healthWhat is Peyronie's Disease?

Peyronie's disease occurs when fibrous scar tissue (plaques) develops inside the penis, leading to an abnormal bend or curvature during erection. This can cause pain, difficulty with sexual intercourse, and in some cases, erectile dysfunction.

Global studies estimate that between 3% and 9% of men may be affected, with prevalence rising among those between 40 and 70 years of age. In some populations, surveys suggest the number could be as high as 1 in 10 men. Despite this, many cases remain undiagnosed, as men often avoid seeking medical care for sexual health issues.

In India, we suspect similar prevalence, but cultural barriers and stigma around discussing men's health mean a large number of cases likely go unreported.

Not seeking help

The biggest challenge in India is silence. Many men dismiss symptoms as a normal part of ageing or avoid seeking care due to embarrassment. Some turn to unverified home remedies or delay medical consultation until the disease becomes severe.

This is a critical concern because Peyronie's disease is a medical condition, not a reflection of masculinity or virility. The longer one waits, the fewer the minimally invasive options available.

Advances in treatment

Over the past decade, treatment for Peyronie's disease has advanced significantly across the world, and India is now adopting many of these innovations:

Medical therapies: Oral medications provide limited benefits, but intralesional injections are increasingly being introduced in India with encouraging results in reducing curvature.

Minimally invasive approaches: Penile traction therapy devices, now available in India, are proving effective when used in the early stages of the disease.

Surgical excellence: For severe curvature, surgery remains the most effective solution. Techniques such as plication, grafting, and penile prosthesis implantation are being performed in Indian centres with successful outcomes.

Holistic care: Treatment in India increasingly includes psychological support, couple counseling, and sexual health education, acknowledging the emotional impact of the disease.

Cutting down smoking could increase life expectancy in men by a year, predictive models showBreaking the stigma

Research shows that men often wait over a year before seeking medical advice for Peyronie's disease. This delay can lead to worsening curvature and the need for more invasive treatments. In India, where men's health discussions are even more restricted, undiagnosed cases may be far higher.

It is important to understand that Peyronie's disease is not rare, and is certainly not something to be ashamed of. It is a recognised medical condition with effective treatment options available.

For men who experience penile curvature, pain during erections, or difficulties with sexual activity, consulting a qualified urologist early, can make a significant difference. Families and partners can also play an important role by offering emotional support and encouraging timely medical care.

Improving awareness

With modern therapies and advanced surgical expertise now available in India, men no longer need to silently endure the burden of Peyronie's disease. Awareness, early action, and open conversations are the keys to better outcomes, preserved sexual health, and improved quality of life.

The key is to act early -- timely consultation with a urologist and early treatment in these patients ensures better outcomes and overall well-being.

(Dr. Sandeep Bafna is a consultant in reconstructive urology at Apollo Hospitals in Chennai. drsandeep_bafna@apollohospitals.com)

Peyronie's Disease: breaking myths and embracing modern treatments