Injections vs. scalpel: which straightens Peyronie's curvature better?
NCT ID NCT04786106
First seen Aug 26, 2026 · Last updated Aug 27, 2026 · Updated 1 time
Summary
This trial asks whether collagenase injections (Xiaflex) or surgery is the better approach for treating Peyronie's disease, a condition that causes penile curvature and pain. About 40 men with curvature of at least 30 degrees will receive either a full course of eight Xiaflex injections or undergo penile plication or grafting surgery. Researchers will compare satisfaction, erectile function, and complications like changes in sensation or length to help guide treatment choices.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Collagenase clostridium histolyticum (Xiaflex) injections or penile plication/incision-and-grafting surgery
- What this could lead to
- If this trial succeeds, it could help men with Peyronie's disease choose between injection therapy and surgery based on which offers better satisfaction and fewer side effects.
- What could go wrong
- The trial is small (40 men) and results may not apply to everyone. Both treatments carry risks, including erectile dysfunction, changes in sensation, or penile length, and the comparison may not show a clear winner.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 40 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2020
- Expected to finish
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Feb 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Male participants only
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Men with PD * \>18 years old * Curvature ≥30 degrees * Ability to achieve an erection satisfactory for intercourse with or without PDE5 inhibitors Exclusion Criteria: * Prior treatment with CCH or surgery * Moderate (shadowing) or severe (\>1 cm) penile calcification * Any contraindications to CCH, PTT, or surgery - as determined by the PI
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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The Male Fertility and Peyronie's Clinic
Orem, Utah, 84057, United States
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