Active Peyronie's
The early inflammatory phase with pain, a developing plaque, and changing curvature — treated medically, not surgically.
Key features
- Pain on erection
- Developing plaque
- Curvature changing
- Inflammatory phase
Correct penile curvature from Peyronie's disease or congenital causes — with a stepwise approach from medication to surgery. Board-certified urologist in Seomyeon, Busan from $2,000. Dr. Moon Hyeon-chang has 15+ years treating curvature and Peyronie's disease.


Penile curvature — whether from Peyronie's disease (scar plaque in the tunica) or present from birth — can cause pain, difficulty with intercourse, and distress. Learn from Dr. Moon Hyeon-chang how curvature is evaluated, when to treat medically versus surgically, and why timing matters. 15+ years of experience, explained in clear English.
Dr. Moon personally manages each case at our Busan Seomyeon practice. The key principle is matching treatment to the phase: the active (inflammatory) phase is managed medically, while surgery is reserved for stable curvature. Honest assessment of severity and goals guides every plan.

Two surgical techniques used at Urogyn Busan — plication (TAP) for milder curvature, and tunica incision with grafting for severe cases. Dr. Moon selects the right approach based on your anatomy.

Not all curvature is the same. Cause, phase, and severity determine the right treatment. These are the main categories.
The early inflammatory phase with pain, a developing plaque, and changing curvature — treated medically, not surgically.
The mature phase where plaque and curvature have stabilized for 3+ months — the window for surgical correction if needed.
Curvature present from birth without plaque, due to uneven tunica — corrected surgically when it impairs function.
Mild curvature that does not impair intercourse may need no surgery — reassurance or conservative care suffices.
Treatment follows a ladder based on phase and severity — medical options for the active phase, surgical options for stable, significant curvature.
Oral agents and anti-inflammatories may ease pain and limit progression during the active phase.
Modest evidence; mainly for early/active disease.
Intralesional injections into the plaque can reduce curvature in selected cases over a course.
Requires multiple sessions over months.
Penile traction devices may help maintain length and modestly reduce curvature as an adjunct.
Best as a complement to other treatment.
For stable curvature with good length, sutures on the longer side straighten the penis — simple and reliable.
May slightly shorten; best when length is ample.
For severe curvature or hourglass deformity, the plaque is incised and a graft placed to restore shape and length.
Preserves length; more complex than plication.
When Peyronie's coexists with erectile dysfunction, a penile implant with straightening corrects both.
See the penile implant pages.
Evaluation establishes the cause, phase, severity, and effect on function — which together decide medical versus surgical management.
Onset, pain, how curvature has changed, and effect on intercourse — to determine active versus stable phase.
Assessment on erection (sometimes induced) to measure curvature angle and direction accurately.
Palpation and sometimes ultrasound to map plaque location and size, and assess erectile function.
Phase-appropriate plan defined — medical if active, surgical option if stable and significant. Goals set honestly.
Both timing (phase) and degree of curvature matter. These tiers explain when to wait, treat medically, or operate.
Dr. Moon never operates in the active phase. Once stable, curvature severity determines plication versus grafting.
Recovery depends on whether treatment was medical or surgical. These points apply to the surgical options.
After surgery, limit activity for the first week while suture lines or grafts settle.
Abstain for 4–6 weeks after surgery so correction heals fully before intercourse.
Take prescribed anti-inflammatories or antibiotics as directed.
If advised, gentle traction or stretching may help maintain length during healing.
Avoid nicotine, especially after grafting, to support healing.
WhatsApp updates let Dr. Moon assess straightening and healing after you fly home.
It depends on the approach. Medical therapy and injections start from $2,000. Plication (Nesbit) surgery ranges $3,000–$5,000, and plaque incision with grafting $5,000–$9,000.
All prices include consultation and 6-month WhatsApp follow-up. Implant-based correction is priced with the implant.
Peyronie's disease is the formation of fibrous scar tissue (plaque) in the tunica albuginea of the penis, causing curvature, sometimes pain, and difficulty with intercourse. It has an active (inflammatory) phase and a stable phase, which determine treatment.
In the active phase and for milder cases, medical options — oral agents, intralesional injections, and traction — may reduce pain and curvature. However, significant stable curvature usually responds best to surgery. Dr. Moon advises honestly on what each approach can achieve.
Surgery is only done in the stable phase — typically after curvature has been unchanged and pain-free for at least 3 months. Operating during the active phase risks recurrence. Plication suits milder stable curves; grafting suits severe ones.
Plication can cause slight shortening because it works on the longer side — best when length is ample. Plaque incision with grafting preserves length and suits severe curvature. Dr. Moon chooses the technique to balance straightening and length for your case.
For medical treatment, a short visit suffices with remote follow-up. For surgery, plan 7–10 days including a follow-up before flying. Healing is then monitored via WhatsApp photo updates.
When curvature coexists with ED, combined treatment or an implant may be best.
Read moreFor Peyronie's with ED, an implant corrects both curvature and erection.
Read moreIf curvature is from skin scar rather than plaque, see Z-plasty scar revision.
Read moreFree WhatsApp consultation with Dr. Moon. Describe your curvature and any pain — receive a preliminary assessment of phase, severity, and whether medical or surgical treatment fits.

Address:
7F-702, Ion City Building, 74 Seomyeon-ro, Busanjin-gu, Busan, South Korea
All Rights Reserved | Urogyn Men's Clinic Busan