If the healing process is more efficient in younger men with PD, why are doctors reluctant to perform surgery on them?

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Your statement is true that younger men tend to heal better and have better underlying erectile function. The experts on Peyronie’s disease would likely not be reluctant to perform surgical correction on the young man (under 40 years old) with stable Peyronie’s disease who has a curvature which is interfering with sexual activity. Should your experience be that you are not finding success with your local physician, you might check out the physician referral region on this website as there are surely physicians there who will operate on young men with stable Peyronie’s disease.