Peyronie's Disease Form

This unsuccessful surgery form is very important because it will tell Dr. Paulo which level is your situation and it will pass a greater range of information about your case in specific, providing a quicker and effective solution for you.

Remember:

  • It is very important to answer all of the questions.
  • If you have any doubts, please, contact us through the number +55 (11) 3077-3647 or +55 11 94890-0034 (WhatsApp).
  • Your personal information is strictly confidential.

 

Fill out the form below, we can help you!