Peyronie's disease requires intervention, where every millimeter matters for restoring function and quality of life. The Ichilov clinic applies protocols based on the latest advancements in microsurgery and regenerative medicine, allowing for correction of deformity while preserving sensitivity and natural anatomy. The center's surgeons specialize in complex reconstructive surgeries, using minimally invasive techniques and individualized selection of methods depending on the stage of the disease. Each case is reviewed by a multidisciplinary team, which eliminates template solutions and ensures a personalized approach. Patients are accommodated in comfortable rooms with the option for family accompaniment, and the entire process—from diagnosis to rehabilitation—is coordinated by the clinic's international department. Choosing Ichilov means access to expertise that has been developed over decades of working with the most complex urological pathologies.
About the Disease
Peyronie's disease is a fibrous lesion of the tunica albuginea of the penis, leading to curvature and deformation during erection. The disease is divided into acute and chronic stages.
Causes
- Microtrauma to tissues during sexual intercourse
- Genetic predisposition to fibrosis
- Autoimmune disorders
- Metabolic disorders
Symptoms
- Curvature during erection
- Pain in the area of plaques
- Shortening of the organ
- Impaired erectile function
- Palpable indurations
- Deformation resembling an “hourglass”
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Treatment Methods
The choice of therapeutic tactics at Ichilov is based on the stage of the disease, the degree of deformity, and the impact of the pathology on the patient's quality of life.
Medication Therapy
In the early stages, when fibrous changes are just forming, conservative treatment is applied using medications that slow the formation of scar tissue. Injections of enzyme preparations directly into the plaque break down collagen fibers, reducing the density of the indurations. Concurrently, anti-inflammatory agents and antioxidants are prescribed to reduce the activity of the process. The course requires regular monitoring using ultrasound to assess the dynamics of changes.
Shockwave Therapy
This method is effective in the acute phase of the disease, when pain syndrome persists and the formation of fibrous foci continues. Low-intensity acoustic waves stimulate microcirculation in the affected area, promoting the resorption of indurations and reducing inflammation. Procedures are performed on an outpatient basis using modern devices that allow precise focusing of energy on pathological areas without damaging surrounding tissues.
Surgical Correction by Plication
For stable deformity up to 60 degrees and preserved erectile function, a technique of shortening the opposite side of the organ is used. The surgeon forms folds of healthy tissue, compensating for the curvature without intervening in the fibrotic area. The operation is performed through minimal incisions using microsurgical instruments and optical magnification, which minimizes trauma and reduces recovery time to several weeks.
Excision of the Plaque with Graft Plasticity
When curvature exceeds 60 degrees or complex deformations resembling an “hourglass” are present, removal of fibrous tissue with replacement of the defect with biological or synthetic materials is necessary. Ichilov uses state-of-the-art grafts that ensure elasticity and biocompatibility. The operation requires high surgical precision to preserve the vascular and nerve bundles responsible for sensitivity and erection.
Prosthetics
In cases of pronounced deformity combined with severe erectile dysfunction that does not respond to medication, implantation of a penile prosthesis is indicated. Modern three-component prostheses with a hydraulic mechanism mimic natural physiology, allowing control over the degree of rigidity. Simultaneously with the implantation, modeling is performed to eliminate curvature, addressing both issues within a single intervention.
Physiotherapeutic Methods
As an adjunctive measure at all stages of treatment, vacuum therapy is used to improve tissue blood supply and prevent shortening. Electrophoresis with medicinal substances penetrating deep layers and having a resorptive effect is also utilized. Physiotherapy programs are developed individually and combined with the main treatment to enhance the therapeutic effect.
Diagnostic Methods for the Disease
Accurate diagnosis of Peyronie's disease determines the success of the entire treatment, as only detailed visualization of fibrous changes, assessment of vascular architecture, and degree of deformity allow for the selection of optimal tactics. Ichilov uses high-precision expert-class equipment, and the entire diagnostic process is organized in such a way that all necessary procedures are conducted in a timely manner according to a pre-established schedule, eliminating waiting and loss of time.
First Day
Upon arrival at the clinic, the patient is referred for a consultation with a treating urologist specializing in reconstructive surgery. The doctor collects a detailed medical history, clarifying the onset of symptoms, the dynamics of deformity progression, the presence of pain syndrome, and the impact of the disease on sexual function. A thorough physical examination with palpation is conducted to determine the localization, size, and consistency of fibrous plaques. Based on the initial assessment, a list of studies is formed to help visualize the complete picture of the condition and identify accompanying disorders that influence the choice of treatment method.
Second Day
The diagnostic program includes a comprehensive set of laboratory and instrumental studies.
- Complete blood count
- Biochemical profile
- Hormonal panel
- Coagulogram
- Ultrasound of the penis with Doppler imaging
- Pharmacological test with vasoactive drugs
- MRI with contrast
- Measurement of the degree of curvature
- Assessment of tissue elasticity using elastography
- Study of erectile function
Third Day
The treating physician organizes a multidisciplinary consultation involving urologic surgeons, andrologists, and specialists in reconstructive microsurgery for a detailed discussion of the clinical case. Collegial analysis of diagnostic results considering the individual characteristics of the patient, stage of the disease, and accompanying factors allows for the formulation of the most relevant treatment plan, where each stage is justified by objective data and aimed at achieving optimal functional and aesthetic results.
- Magnetic Resonance Imaging (MRI)
- Ultrasound
- Blood Biochemistry
What is the Cost of Treatment in Israel
The cost of treatment is calculated individually and depends on the stage of the disease, the chosen method of therapy, the volume of diagnostic procedures, and the duration of hospitalization. The calculation includes consultations with specialists, laboratory and instrumental studies, operating expenses, anesthetic support, hospital stay, and rehabilitation activities. To obtain an accurate cost estimate for treatment, it is necessary to contact a consultant at the phone number provided on the website.
Advantages of Treatment in Israel
- Urologists and microsurgeons with many years of experience in reconstructive operations
- Use of minimally invasive techniques while preserving sensitivity and function
- Modern expert-class diagnostic equipment for accurate visualization
- Multidisciplinary approach involving andrologists and rehabilitation specialists
- Comfortable accommodation conditions coordinated by the international department
Even before arriving in Israel, the patient can order an online consultation with a specialized expert from the Ichilov clinic to obtain an expert opinion on their case. During the remote consultation, the doctor will analyze the available medical documents, provide recommendations for further tactics, answer questions, and inform about available modern technologies for treating Peyronie's disease.