Physician-Led · Early Evaluation Matters · Lawrence Township, NJ
Peyronie’s Disease Specialist in New Jersey
Peyronie’s disease is more common than most men realise — and more treatable than most men are told. Dr. Siddique provides comprehensive evaluation and physician-directed treatment at Princeton Men’s Health.
What Is Peyronie’s Disease?
If you are looking for a Peyronie’s disease doctor near you in New Jersey, Princeton Men’s Health provides physician-directed evaluation and treatment for men across Mercer County and the surrounding area.
Peyronie’s disease is a condition in which scar tissue — called plaque — forms inside the penis, causing it to bend, curve, or narrow during erection. The plaque is not cancerous. It develops within the tunica albuginea, the fibrous sheath that surrounds the erectile tissue, and it can form following injury, micro-trauma, or in some cases with no identifiable cause.
The curvature can be upward, downward, or to either side. In some men it is mild and causes no significant functional limitation. In others it is severe enough to make sexual intercourse difficult or impossible. Pain during erection is common in the early phase of the condition, typically easing as the disease progresses into its stable phase.
Peyronie’s disease affects an estimated 1 in 11 men — a figure that likely understates the true prevalence because many men never report it. Embarrassment, the assumption that nothing can be done, or simply not knowing that it has a name keeps most men from seeking evaluation. The result is that a condition with real treatment options goes unmanaged for years.
The Two Phases — and Why Timing Matters
Peyronie’s disease progresses through two distinct phases, and the phase you are in significantly affects which treatment approach is appropriate.
The acute phase is the active, inflammatory stage. Plaque is forming. Curvature may be changing — increasing, shifting direction, or causing new areas of narrowing. Pain during erection is most common in this phase. The acute phase typically lasts six to eighteen months.
The chronic phase begins when the condition stabilises — curvature is no longer changing, pain has resolved or significantly reduced, and the plaque has hardened. This phase can last indefinitely without intervention.
Why does timing matter? Because the treatment options and their evidence base differ between phases. Focused shockwave therapy has its strongest evidence in the acute phase — where it can interrupt the inflammatory process and limit plaque formation. In the chronic phase, treatment goals shift toward managing existing curvature and improving function.
I evaluate every patient individually to determine which phase they are in before making any recommendation. A man who comes to me in the acute phase and a man who comes in the chronic phase will have a different conversation — and a different treatment plan.
Symptoms That Bring Men to My Clinic
Most men with Peyronie’s disease recognise the condition from its most visible symptom — penile curvature during erection. But the full picture is often more complex:
- Penile curvature — bending upward, downward, or to one side during erection, ranging from mild to severe
- Pain during erection — most common in the acute phase; typically resolves as the condition stabilises
- Palpable plaque — a hardened area or lump felt along the shaft, often where the curvature originates
- Penile shortening — a reduction in erect length caused by the inelastic plaque restricting normal expansion
- Narrowing or indentation — an hourglass shape or narrowing at the site of plaque formation
- Erectile dysfunction — Peyronie’s disease and ED frequently coexist; the plaque can interfere with the vascular mechanisms of erection
- Psychological impact — anxiety, avoidance of intimacy, and relationship strain are common and clinically significant
The psychological dimension is one that many physicians underestimate. Men with Peyronie’s disease frequently experience significant distress that extends well beyond the physical symptoms. Acknowledging that is part of a complete evaluation.
Treatment Options at Princeton Men’s Health
Princeton Men’s Health offers two evidence-informed, non-surgical treatment approaches for Peyronie’s disease — both autologous or device-based, neither requiring general anaesthesia or hospital admission.
Focused Shockwave Therapy
Low-intensity acoustic waves are delivered precisely to the plaque and surrounding tissue. The mechanism involves controlled microtrauma that triggers the body’s own repair response — breaking down fibrous plaque, stimulating new blood vessel growth, and reducing the inflammatory activity that drives plaque formation in the acute phase.
Focused shockwave therapy is the most studied non-surgical intervention for Peyronie’s disease. Its evidence base is strongest in the acute phase, where treatment can limit the extent of plaque formation and reduce curvature progression. In the chronic phase it is used primarily to improve tissue quality and vascular health in the affected area.
Platelet-Rich Plasma (PRP)
Platelet-rich plasma is derived from a small sample of the patient’s own blood, drawn on the day of the procedure and centrifuged to concentrate the growth factors. PRP is injected directly into the plaque under local anaesthesia.
The growth factors in PRP signal the body to initiate tissue remodelling — a process that can soften existing plaque and support the healing response in surrounding tissue. PRP for Peyronie’s disease is performed off-label. It uses an established biological mechanism applied to an application outside its original approval, based on clinical judgement and the available evidence. Patients should understand this distinction before proceeding.
Combined Protocol
For some patients, focused shockwave therapy and PRP are used in sequence. Shockwave prepares the tissue; PRP delivers growth factors into the environment the shockwave has primed. Whether this combination is appropriate depends on individual presentation, phase of disease, and overall clinical picture.
Individual results vary. Neither treatment guarantees resolution of curvature. Dr. Siddique discusses realistic expectations in detail during the consultation.
What a Proper Evaluation Looks Like
Before recommending any treatment for Peyronie’s disease, I need to understand the full clinical picture. That means:
- History — when symptoms first appeared, how they have changed over time, whether pain is present, and the impact on sexual function and quality of life
- Phase determination — whether the condition is in the acute or chronic phase, based on symptom timeline and stability of curvature
- Physical examination — assessment of the plaque location, extent, and any associated deformity
- Erectile function — Peyronie’s disease and erectile dysfunction frequently coexist and need to be evaluated together
- Psychological impact — the distress associated with Peyronie’s disease is clinically significant and is part of the assessment, not an afterthought
- Treatment candidacy — not every patient is a candidate for every treatment; the evaluation determines which approach is appropriate for your specific presentation
This evaluation takes time. It is not a five-minute consultation followed by a standing protocol. The treatment plan that comes out of it is built around your specific situation — not a template.
What to Expect From Treatment
Before your first session
Dr. Siddique reviews your full medical history, current medications, and the timeline of your Peyronie’s symptoms before recommending any treatment. For patients considering PRP, a baseline assessment of the plaque and any associated erectile function changes is completed first.
During focused shockwave sessions
Each session takes approximately 20 to 30 minutes. The shockwave applicator is applied to the plaque site and surrounding tissue. Most patients describe the sensation as mild — a light pressure or tapping. No anaesthesia is required. You can return to normal activity immediately after each session.
During PRP injection
The treatment area is numbed with local anaesthesia before the PRP is injected. The injection itself takes a few minutes. There is no significant recovery period. Most patients return to normal activity the same day.
Course of treatment
A standard focused shockwave protocol for Peyronie’s disease typically involves six sessions over three to six weeks. PRP may be given as a single injection or in a series, depending on presentation. Where both are used in combination, the sequence and timing are determined individually.
Timeline for results
Most men begin noticing changes — reduced pain, softening of the plaque, or improvement in curvature — over the weeks and months following treatment. Because the mechanism involves biological tissue remodelling, the timeline reflects a natural healing process. Individual results vary significantly.
A Note on Early Evaluation
If you have noticed penile curvature, pain during erection, or a hardened area along the shaft — do not wait.
Peyronie’s disease is significantly easier to address in the acute phase than in the chronic phase. Once the plaque has hardened and stabilised, the treatment options narrow and the goals shift from resolution to management.
The men who come to me earliest — often within the first few months of noticing symptoms — have the widest range of options available to them. The men who wait a year or two before seeking evaluation frequently wish they had come sooner.
I am not saying this to create urgency. I am saying it because it is clinically true, and because most men with Peyronie’s disease are never told it directly.
If something has changed and you are not sure whether it is significant — that is exactly the conversation a consultation is for.
Is a Peyronie’s Disease Doctor Right for You?
Peyronie’s disease is underdiagnosed partly because men do not seek evaluation and partly because the condition is not always on the radar of general practitioners who see it rarely.
If you have noticed any of the following, a proper evaluation is worth having:
- A new curve or bend during erection that was not there before
- Pain during erection, particularly if it is new
- A lump or hardened area along the shaft of the penis
- A change in erect length or girth
- An hourglass or narrowing shape during erection
- Erectile dysfunction that has developed alongside any of the above
You do not need a referral. You do not need to have a diagnosis. You need a consultation with a physician who has seen this condition, knows how to evaluate it, and can discuss your options honestly.
Princeton Men’s Health is located at 31 East Darrah Lane in Lawrence Township, New Jersey — minutes from Princeton, Hamilton, West Windsor, and the surrounding Mercer County area.
Frequently Asked Questions
Peyronie’s disease is a condition in which scar tissue — called plaque — forms inside the penis, causing it to curve, bend, or narrow during erection. It affects an estimated 1 in 11 men and is more common in men over 40, though it can occur at any age. The plaque forms within the tunica albuginea — the fibrous sheath surrounding the erectile tissue — and can develop following injury, micro-trauma, or without any identifiable cause.
In some men, particularly those treated early in the acute phase, significant improvement in curvature and symptoms is possible. In others, the goal of treatment is to stabilise the condition, reduce pain, improve tissue quality, and preserve erectile function. Individual results vary significantly. Dr. Siddique discusses realistic expectations specific to your presentation during the consultation — not a generalised prognosis.
The acute phase is the active, inflammatory stage — plaque is forming, curvature may be changing, and pain during erection is most common. The chronic phase begins when the condition stabilises — curvature is no longer progressing and pain has resolved. Treatment options and their evidence base differ between phases. Early evaluation during the acute phase provides the widest range of treatment options.
Focused shockwave therapy sessions involve mild sensation — most patients describe a light tapping or pressure — and require no anaesthesia. PRP injection is performed under local anaesthesia, so the injection site is numbed before the procedure. Neither treatment has a recovery period. Most patients return to normal activity the same day.
Princeton Men’s Health offers non-surgical treatment options — focused shockwave therapy and platelet-rich plasma. Surgical options for Peyronie’s disease exist and may be appropriate for some patients, particularly those with severe chronic curvature. If surgery is more appropriate for your situation, Dr. Siddique will tell you and can discuss referral options.
Call Princeton Men’s Health at (844) 513-2150 or use the booking form on our contact page to schedule a consultation with Dr. Siddique. No referral is required. Every evaluation begins with a thorough assessment of your symptoms, timeline, and treatment goals before any recommendation is made.
Early Evaluation Changes Your Options
The most important thing about Peyronie’s disease is that the earlier it is evaluated, the more that can be done. If something has changed and you are not sure what it means — that is exactly what a consultation is for.
Princeton Men’s Health · 31 East Darrah Lane, Lawrence Township, NJ · (844) 513-2150