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Sexual health treatment · Munich

Peyronie's disease, Munich

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Peyronie's disease treatments in Munich

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All content on this page has been medically reviewed by: Dr. Alejandro Infante, General medicine, on 27 July 2026. Registration: 080869277 View profile

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More about your care

What is it?

Peyronie's disease is an acquired condition in which fibrous plaques form in the tunica albuginea of the penis, causing abnormal curvature during erection. It may be accompanied by pain, penile shortening and difficulty with penetration.

The disease typically goes through two phases: an acute or inflammatory phase, in which pain appears and curvature may progress, and a chronic or stable phase, in which pain subsides and curvature stabilises. The duration of each phase varies between individuals.

The timing of assessment matters: during the acute phase, options to reduce progression and pain may be considered, while in the stable chronic phase, corrective surgery is an option for those whose curvature makes penetration difficult.

Read the full condition information

Severe Peyronie's usually needs an in-person urology assessment. For mild cases, the doctor tells you whether Hi-Doctor fits or refers you on.

HOW COMMON IT IS

Affects a small percentage of men, mainly between 40 and 60 years of age, though many mild cases go undiagnosed because they are not brought to medical attention.

CAUSES

  • Repeated microtrauma during sexual activity
  • Genetic predisposition
  • Associated Dupuytren's disease
  • Diabetes
  • Previous prostate surgery
  • Connective tissue disorders

TREATMENT APPROACHES

  • Observation and monitoring in mild non-progressive cases
  • No oral medication has shown sufficient efficacy; some have been studied with limited results
  • Intralesional injections assessed by a specialist (collagenase is no longer marketed in Europe)
  • Low-intensity shockwave therapy for pain in the acute phase (does not correct curvature or plaque)
  • Traction or extension devices
  • Corrective surgery in stable severe cases

WHEN TO SEE A DOCTOR

See a doctor if you notice penile curvature you did not have before, if it hurts during erection or if the curvature makes penetration difficult. Early assessment can help decide the best time to intervene.

Peyronie's disease falls within sexual health, but it isn't always the primary indication of our treatments. The doctor reviews your case and tells you clearly whether Peyronie's disease fits our current scope or whether you should be referred on.
An individualised medical review within sexual health, no algorithms. If your case is eligible, we propose a treatment plan with clinical evidence and EU authorisation. If it isn't, the doctor tells you and the consultation is refunded.
The doctor tells you during the consultation and points you to the most appropriate route. Hi-Doctor does not issue prescriptions outside the scenarios we can review safely via telemedicine.
Yes. Hi-Doctor runs 100% online across the EU, so from Munich you can fill in the questionnaire and receive the medical review without travelling. The electronic prescription issued by the licensed doctor is valid at any EU pharmacy under Directive 2011/24/EU; outside Spain the pharmacist dispenses the locally marketed equivalent of the same active ingredient.
Yes. All communication happens in the private chat of your account, GDPR-compliant. The doctor treats discretion as a core of the service and there is no history visible outside your consultation.
The private electronic prescription (Receta Médica Privada Electrónica) is issued by a licensed doctor in Spain. It is a PDF carrying every field required by EU Directive 2011/24/EU (patient, prescriber with country of registration, active ingredient, dose), which makes it legally recognised across all 27 EU member states. In Spanish pharmacies it is dispensed from the QR; outside Spain, the pharmacist dispenses the locally marketed equivalent of the same active ingredient.

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